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

Mandalay Crest Management Group Inc

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1992028575

Mandalay Crest Management Group Inc is an Orthodontics and Dentofacial Orthopedics Dentistry in Tarzana, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18663 Ventura Blvd #200
Tarzana, CA 91356-4197
Phone: (805) 479-8706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 32043 (CA)

Record details

NPI number1992028575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Floyd Cawthon — President · (805) 479-8706
NPI enumeratedMarch 10, 2010
Last updated in NPPESJuly 19, 2010
Mailing address4924 Balboa Blvd, 223, Encino, CA 91316-3402

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