| Dentistry On The Blvd. | |
|
1101 N Sepulveda Blvd Suite 102 Manhattan Beach CA 90266-5948 | |
| (310) 545-0855 | |
| Not Available |
| Full Name | Dentistry On The Blvd. |
|---|---|
| Speciality | Dentist |
| Location | 1101 N Sepulveda Blvd, Manhattan Beach, California |
| Authorized Official Name and Position | Janelle Holden (OWNER) |
| Authorized Official Contact | 3105450855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry On The Blvd. 1101 N Sepulveda Blvd Suite 102 Manhattan Beach CA 90266-5948 Ph: (310) 545-0855 | Dentistry On The Blvd. 1101 N Sepulveda Blvd Suite 102 Manhattan Beach CA 90266-5948 Ph: (310) 545-0855 |
| NPI Number | 1710429451 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 11/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710429451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41617 (California) | Primary |
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