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1831269489
HASSAN M FAYOUMI
LOS ANGELES, CA
NPI
1831269489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 52604)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
-- HASSAN M FAYOUMI DDS
8615 S BROADWAY KLEINMAN & WALLACE PROF DENTAL CORP
LOS ANGELES, CA 90003
Phone number: 323-752-3116
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Mailing Address
-- HASSAN M FAYOUMI DDS
524 N JUANITA AVE #3
REDONDO BEACH, CA 90277
Phone number: 310-699-1549
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