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Organization
JAMES T. BLACK, DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization
JAMES T. BLACK, DDS A PROFESSIONAL DENTAL CORPORATION
Active
Other names
DBA Crenshaw Professional Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANINE T BLACK (BUSINESS ADMINISTRATOR)
(323) 731-0801
Entity
Organization
Contact information
Practice address
3015 CRENSHAW BLVD, LOS ANGELES, CA 90016-4264
(323) 731-0801
(323) 731-1351
Mailing address
3015 CRENSHAW BLVD, LOS ANGELES, CA 90016-4264
(323) 731-0801
(323) 731-1351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17880
CA
Other
Enumeration date
02/02/2007
Last updated
04/11/2017
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