Individual provider · Type 1 NPI
Daniel Teboul, DDS
Periodontics · South Gate, CA
NPI number
1770617003
Active
Practice location
4444 Tweedy Blvd
South Gate, CA 90280-6304
Fax (323) 249-7565
Mailing address
107 N Maple Dr
Beverly Hills, CA 90210-5502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 49419 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1770617003
Daniel Teboul, DDS's National Provider Identifier is 1770617003, issued on Mar 16, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in South Gate, CA. The record was last updated on Jul 8, 2007.