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23000 Crenshaw Blvd Suite 207 Torrance CA 90505-3052 | |
| (310) 926-2234 | |
| (424) 267-0027 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23000 Crenshaw Blvd, Torrance, California |
| Authorized Official Name and Position | Daye Jang (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 2135689681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
23000 Crenshaw Blvd Suite 207 Torrance CA 90505-3052 Ph: (310) 926-2234 | 23000 Crenshaw Blvd Suite 207 Torrance CA 90505-3052 Ph: (310) 926-2234 |
| NPI Number | 1861943797 |
|---|---|
| Provider Enumeration Date | 10/15/2016 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861943797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52356 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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