Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crenshaw Dental Group

Organization General Practice Dentistry · NPI 1083735278

Crenshaw Dental Group is a General Practice Dentistry in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

3756 Santa Rosalia Dr Ste 517
Los Angeles, CA 90008-3606
Phone: (323) 290-2212
Fax: (323) 290-1061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 44505 (CA)

Record details

NPI number1083735278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moeiz Koshki — Dentist · (323) 290-2212
NPI enumeratedApril 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3756 Santa Rosalia Dr, Suite 517, Los Angeles, CA 90008-3606

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