MISTY MICHELLE BLACK DDS INC

LOS ANGELES, CA
NPI1487946992
Entity TypeOrganization
Authorized ContactMISTY MICHELLE BLACK
Owner
323-734-1534
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  59622)
Enumeration Date2011-05-03
Last Update Date2011-05-03
Business Address
MISTY MICHELLE BLACK DDS INC
3015 CRENSHAW BLVD # C
LOS ANGELES, CA 90016-4264
Phone number: 323-734-1534
Mailing Address
MISTY MICHELLE BLACK DDS INC
3015 CRENSHAW BLVD # C
LOS ANGELES, CA 90016-4264
Phone number: 323-734-1534
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