Organization
BLACK AND TO DENTAL CORPORATION
Active
Other names
Beach City Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN THANH TO (DDS-OWNER)
(310) 376-5252
Entity
Organization
Contact information
Practice address
1509 HAWTHORNE BLVD, SUITE 102, REDONDO BEACH, CA 90278-3957
(310) 376-5252
(310) 376-5757
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53880
CA
Other
Enumeration date
04/11/2012
Last updated
05/11/2022
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