DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISTY MICHELLE BLACK DDS INC

Active Organization

MISTY MICHELLE BLACK DDS INC is a Dentist organization located in LOS ANGELES, California. NPI 1487946992 is currently active in the NPPES registry. Verify at CMS.

Dentist · LOS ANGELES, CA

Registration Details

NPI Number
1487946992
Provider Type
Organization
NPI Issued
May 3, 2011 (15.278945299012 yrs)
Last Updated
May 3, 2011
License
59622 (CA)

Practice Information

Address
3015 CRENSHAW BLVD # C
LOS ANGELES, CA, 900164264
Browse CA providers · Browse ZIP 90016
Phone
3237341534
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.