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General NPI Number Information
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NPI Number | 1972298495
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Entity Type | Organization
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Legal Business Name | HOUDA HAMZE DENTAL CORPORATION
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 502 CENTER ST
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City | EL SEGUNDO
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State | CA
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Zip | 90245-3201
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Country | US
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Telephone | 424-499-0019
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Fax |
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Provider Business Mailing Address
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Address Line | 502 CENTER ST
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City | EL SEGUNDO
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State | CA
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Zip | 90245-3201
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Country | US
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Telephone | 424-499-0019
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | HOUDA W HAMZE
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Credential | DMD
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Telephone | 925-963-6970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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