Organization
CRYSTALLINE DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF YANG (OWNER)
(213) 999-0755
Entity
Organization
Contact information
Practice address
6325 TOPANGA CANYON BLVD STE 233, WOODLAND HILLS, CA 91367-2023
(818) 340-7108
Mailing address
6325 TOPANGA CANYON BLVD STE 233, WOODLAND HILLS, CA 91367-2023
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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