| NPI | 1871631622 |
|---|---|
| Doing Business As | DBA CRENSHAW PROFESSIONAL DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANINE T BLACK Business Administrator 323-731-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 17880) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2017-04-11 |