| Dr Daniel Boudaie Dmd Inc | |
|
10933 Victory Blvd North Hollywood CA 91606-3717 | |
| (818) 509-1818 | |
| (818) 509-1647 |
| Full Name | Dr Daniel Boudaie Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 10933 Victory Blvd, North Hollywood, California |
| Authorized Official Name and Position | Daniel Boudaie (DENTIST) |
| Authorized Official Contact | 8185091818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Boudaie Dmd Inc 10933 Victory Blvd North Hollywood CA 91606-3717 Ph: (818) 509-1818 | Dr Daniel Boudaie Dmd Inc 10933 Victory Blvd North Hollywood CA 91606-3717 Ph: (818) 509-1818 |
| NPI Number | 1598962300 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 06/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598962300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30633 (California) | Primary |
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