Organization
BOUDAIE DENTAL PC
Active
Other names
Ruby Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX BOUDAIE DDS (PRESIDENT)
(310) 341-3041
Entity
Organization
Contact information
Practice address
630 N PACIFIC COAST HWY STE 15, EL SEGUNDO, CA 90245-3435
(310) 341-3041
(310) 341-3328
Mailing address
630 N PACIFIC COAST HWY STE 15, EL SEGUNDO, CA 90245-3435
(310) 341-3041
(310) 341-3328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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