| Keith T Komatsu Dds Apc | |
|
1921 S Catalina Ave Ste 3 Redondo Beach CA 90277-5516 | |
| (310) 375-8012 | |
| (310) 375-6482 |
| Full Name | Keith T Komatsu Dds Apc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1921 S Catalina Ave Ste 3, Redondo Beach, California |
| Authorized Official Name and Position | Keith Taro Komatsu (OWNER) |
| Authorized Official Contact | 3103758012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith T Komatsu Dds Apc 1921 S Catalina Ave Ste 3 Redondo Beach CA 90277-5516 Ph: (310) 375-8012 | Keith T Komatsu Dds Apc 1921 S Catalina Ave Ste 3 Redondo Beach CA 90277-5516 Ph: (310) 375-8012 |
| NPI Number | 1548837198 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548837198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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