| Beachfront Dentistry | |
|
1706 S Elena Ave Ste B Redondo Beach CA 90277-5715 | |
| (310) 378-9241 | |
| Not Available |
| Full Name | Beachfront Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1706 S Elena Ave Ste B, Redondo Beach, California |
| Authorized Official Name and Position | Michael Z Hopkins (PRESIDENT) |
| Authorized Official Contact | 3109953551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachfront Dentistry 1706 S Elena Ave Ste B Redondo Beach CA 90277-5715 Ph: (310) 378-9241 | Beachfront Dentistry 1706 S Elena Ave Ste B Redondo Beach CA 90277-5715 Ph: (310) 378-9241 |
| NPI Number | 1104324862 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 01/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104324862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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