Provider Demographics
NPI:1366642993
Name:MONEM HAMOUD DDS INC
Entity Type:Organization
Organization Name:MONEM HAMOUD DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:A MONEM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-866-5400
Mailing Address - Street 1:17610 BELLFLOWER BLVD
Mailing Address - Street 2:#A 210
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-8000
Mailing Address - Country:US
Mailing Address - Phone:562-866-5400
Mailing Address - Fax:
Practice Address - Street 1:17610 BELLFLOWER BLVD
Practice Address - Street 2:#A 210
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-8000
Practice Address - Country:US
Practice Address - Phone:562-866-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA507501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty