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Organization
JOHN BLANTON, D.D.S. A PROFESSIONAL DENTAL CORP.
Active
Organization
JOHN BLANTON, D.D.S. A PROFESSIONAL DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE B TANG (OFFICE MANAGER)
(310) 559-6666
Entity
Organization
Contact information
Practice address
10730 JEFFERSON BLVD, CULVER CITY, CA 90230-4933
(310) 559-6666
(310) 559-6853
Mailing address
10730 JEFFERSON BLVD, CULVER CITY, CA 90230-4933
(310) 559-6666
(310) 559-6853
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32637
CA
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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