Black and to Dental Corporation

NPI #1124384417 in Redondo Beach, California

Provider Information

NPI Number: 1124384417
Entity Type: Organization
Organization Name: Black and to Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Apr 11, 2012
Last Updated: May 11, 2022

Practice Location

Address: 1509 HAWTHORNE BLVD
Address 2: SUITE 102
City: Redondo Beach
State: California
ZIP Code: 90278-3957
Phone: (310) 376-5252

Authorized Official

Name: DR. JOAN THANH TO
Title: DDS-OWNER
Phone: (310) 376-5252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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