| Surfside Ventures PC | |
|
23601 Crenshaw Blvd Torrance CA 90505-5204 | |
| (424) 538-4752 | |
| Not Available |
| Full Name | Surfside Ventures PC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 23601 Crenshaw Blvd, Torrance, California |
| Authorized Official Name and Position | John Miller (PRESIDENT) |
| Authorized Official Contact | 3109223562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Ventures PC 1601 N Sepulveda Blvd # 354 Manhattan Beach CA 90266-5111 | Surfside Ventures PC 23601 Crenshaw Blvd Torrance CA 90505-5204 Ph: (424) 538-4752 |
| NPI Number | 1407776321 |
|---|---|
| Provider Enumeration Date | 07/20/2026 |
| Last Update Date | 07/20/2026 |
| Certification Date | 07/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407776321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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