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1770617003
DANIEL TEBOUL
SOUTH GATE, CA
NPI
1770617003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 49419)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Dr. DANIEL TEBOUL DDS
4444 TWEEDY BLVD
SOUTH GATE, CA 90280-6304
Phone number: 323-564-2444
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Mailing Address
Dr. DANIEL TEBOUL DDS
107 N MAPLE DR
BEVERLY HILLS, CA 90210-5502
Phone number: 323-564-2444
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