Organization
DR DANIEL BOUDAIE DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BOUDAIE DMD (DENTIST)
(818) 509-1818
Entity
Organization
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
122300000X
Dentist
Primary
30633
CA
Other
Enumeration date
06/27/2007
Last updated
06/02/2016
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