# DR DANIEL BOUDAIE DMD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598962300
- **Authorized official:** DR. DANIEL BOUDAIE DMD (DENTIST)
- **Authorized official phone:** (818) 509-1818

## Contact information

- **Practice address:** 10933 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3717
- **Practice address phone:** (818) 509-1818
- **Practice address fax:** (818) 509-1647
- **Mailing address:** 10933 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3717
- **Mailing address phone:** (818) 509-1818
- **Mailing address fax:** (818) 509-1647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30633 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 06/02/2016