| Beach City Dental Group | |
|
1509 Hawthorne Blvd Suite 102 Redondo Beach CA 90278-3957 | |
| (310) 376-5252 | |
| (310) 376-5757 |
| Full Name | Beach City Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1509 Hawthorne Blvd, Redondo Beach, California |
| Authorized Official Name and Position | Joan Thanh To (DDS-OWNER) |
| Authorized Official Contact | 3103765252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach City Dental Group Po Box 920050 Dallas TX 75392-0050 Ph: (714) 368-2077 | Beach City Dental Group 1509 Hawthorne Blvd Suite 102 Redondo Beach CA 90278-3957 Ph: (310) 376-5252 |
| NPI Number | 1124384417 |
|---|---|
| Provider Enumeration Date | 04/11/2012 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124384417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53880 (California) | Primary |
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