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Organization
LABOUNTY DENTAL, INC.
Active
Organization
LABOUNTY DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE LABOUNTY DDS (DENTIST)
(310) 303-7930
Entity
Organization
Contact information
Practice address
1951 ARTESIA BLVD, SUITE 102, REDONDO BEACH, CA 90278-2985
(310) 303-7930
Mailing address
1951 ARTESIA BLVD, SUITE 102, REDONDO BEACH, CA 90278-2985
(310) 303-7930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48627
CA
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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