Organization
DANIEL TEBOUL, DDS, INC.
Active
Other names
Lomita Torrance Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL TEBOUL DDS (OWNER)
(310) 539-7835
Entity
Organization
Contact information
Practice address
23520 CRENSHAW BLVD, TORRANCE, CA 90505-5203
(310) 539-7835
(310) 530-1510
Mailing address
23520 CRENSHAW BLVD, TORRANCE, CA 90505-5203
(310) 539-7835
(310) 530-1510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49419
CA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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