Provider Demographics
NPI:1871679555
Name:TARAKJI, MAJD ALBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAJD
Middle Name:ALBERT
Last Name:TARAKJI
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:19000 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE# 222
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-1517
Mailing Address - Country:US
Mailing Address - Phone:310-371-6900
Mailing Address - Fax:310-214-8395
Practice Address - Street 1:19000 HAWTHORNE BLVD
Practice Address - Street 2:SUITE# 222
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-1517
Practice Address - Country:US
Practice Address - Phone:310-371-6900
Practice Address - Fax:310-214-8395
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA533781223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery