Organization
MANDALAY CREST MANAGEMENT GROUP INC
Active
Organization
MANDALAY CREST MANAGEMENT GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLOYD JESSE CAWTHON III DDS (PRESIDENT)
(805) 479-8706
Entity
Organization
Contact information
Practice address
18663 VENTURA BLVD, #200, TARZANA, CA 91356-4197
(805) 479-8706
Mailing address
4924 BALBOA BLVD, #223, ENCINO, CA 91316-3402
(805) 479-8706
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32043
CA
Other
Enumeration date
03/10/2010
Last updated
07/19/2010
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