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Samantha Bordener, DDS
General Practice Dentistry in Hermosa Beach, California
NPI 1811570153

Samantha Bordener is a General Practice Dentistry based in Hermosa Beach, CA and is specialized in General Practice. Samantha Bordener practices in Hermosa Beach, CA and has the professional credentials of DDS. The NPI Number for Samantha Bordener is 1811570153 and holds a License No. 107447 (California).

The current practice location address for Samantha Bordener is 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA and can be reached out via phone at 310-372-7686.

Location: 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA, 90254-3214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811570153
Provider Name
Samantha Bordener
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA, 90254-3214
Phone Number
310-372-7686
Fax Number
Provider Enumeration Date
05/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1559 Pacific Coast Hwy Ste 101
City
Hermosa Beach
State
California
Zip
90254-3214
Phone Number
310-372-7686
Fax Number
person
Provider Business Mailing Address Details
Address
1559 Pacific Coast Hwy Ste 101
City
Hermosa Beach
State
California
Zip
90254-3214
Phone Number
310-372-7686
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
107447 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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