Provider Demographics
NPI:1972298495
Name:HOUDA HAMZE DENTAL CORPORATION
Entity type:Organization
Organization Name:HOUDA HAMZE DENTAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:HOUDA
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAMZE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:925-963-6970
Mailing Address - Street 1:502 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-3201
Mailing Address - Country:US
Mailing Address - Phone:424-499-0019
Mailing Address - Fax:
Practice Address - Street 1:502 CENTER ST
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-3201
Practice Address - Country:US
Practice Address - Phone:424-499-0019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty