| Maha M. Boulos DDS, Inc. | |
|
23332 Hawthorne Blvd Torrance CA 90505-3749 | |
| (206) 229-3854 | |
| Not Available |
| Full Name | Maha M. Boulos DDS, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23332 Hawthorne Blvd, Torrance, California |
| Authorized Official Name and Position | Maha Boulos (DENTIST) |
| Authorized Official Contact | 2062293854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maha M. Boulos DDS, Inc. 23332 Hawthorne Blvd Ste 101 Torrance CA 90505-3766 Ph: (310) 792-0049 | Maha M. Boulos DDS, Inc. 23332 Hawthorne Blvd Torrance CA 90505-3749 Ph: (206) 229-3854 |
| NPI Number | 1679174171 |
|---|---|
| Provider Enumeration Date | 11/03/2020 |
| Last Update Date | 11/21/2020 |
| Certification Date | 11/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679174171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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