Provider Demographics
NPI:1831653351
Name:JUSTE DMD CORPORATION
Entity Type:Organization
Organization Name:JUSTE DMD CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARVEYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:310-666-5853
Mailing Address - Street 1:3500 LOMITA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5019
Mailing Address - Country:US
Mailing Address - Phone:310-530-7777
Mailing Address - Fax:
Practice Address - Street 1:3500 LOMITA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5019
Practice Address - Country:US
Practice Address - Phone:310-530-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA