Organization
KEITH T KOMATSU DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH TARO KOMATSU DDS (OWNER)
(310) 375-8012
Entity
Organization
Contact information
Practice address
1921 S CATALINA AVE STE 3, REDONDO BEACH, CA 90277-5516
(310) 375-8012
(310) 375-6482
Mailing address
1921 S CATALINA AVE STE 3, REDONDO BEACH, CA 90277-5516
(310) 375-8012
(310) 375-6482
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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