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23520 Crenshaw Blvd Torrance CA 90505-5203 | |
| (310) 539-7835 | |
| (310) 530-1510 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 23520 Crenshaw Blvd, Torrance, California |
| Authorized Official Name and Position | Mark Steven Kahn (GENERAL MANAGING PARTNER) |
| Authorized Official Contact | 3105397835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
23520 Crenshaw Blvd Torrance CA 90505-5203 Ph: (310) 539-7835 | 23520 Crenshaw Blvd Torrance CA 90505-5203 Ph: (310) 539-7835 |
| NPI Number | 1871603704 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871603704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25554 (California) | Primary |
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