| Ehab Samaan Dds Inc | |
|
19019 Hawthorne Blvd Ste 100b Torrance CA 90503 | |
| (310) 371-0113 | |
| (310) 371-1927 |
| Full Name | Ehab Samaan Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19019 Hawthorne Blvd Ste 100b, Torrance, California |
| Authorized Official Name and Position | Ehab Samaan (OWNER) |
| Authorized Official Contact | 3103710113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehab Samaan Dds Inc 19019 Hawthorne Blvd Ste 100b Torrance CA 90503-1533 Ph: (310) 371-0113 | Ehab Samaan Dds Inc 19019 Hawthorne Blvd Ste 100b Torrance CA 90503 Ph: (310) 371-0113 |
| NPI Number | 1891288890 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 07/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891288890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49798 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | (California) | Primary |
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