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1487946992
MISTY MICHELLE BLACK DDS INC
LOS ANGELES, CA
NPI
1487946992
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Entity Type
Organization
Authorized Contact
MISTY MICHELLE BLACK
Owner
323-734-1534
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 59622)
Enumeration Date
2011-05-03
Last Update Date
2011-05-03
Business Address
MISTY MICHELLE BLACK DDS INC
3015 CRENSHAW BLVD # C
LOS ANGELES, CA 90016-4264
Phone number: 323-734-1534
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Mailing Address
MISTY MICHELLE BLACK DDS INC
3015 CRENSHAW BLVD # C
LOS ANGELES, CA 90016-4264
Phone number: 323-734-1534
Copy
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