Individual
DR. DANIEL BOUDAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10933 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3717
(818) 509-1818
(818) 509-1647
Mailing address
10933 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3717
(818) 509-1818
(818) 509-1647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30633
CA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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