| Chantiste Beal Dds Inc | |
|
8540 S Sepulveda Blvd Ste 900 Los Angeles CA 90045-3808 | |
| (323) 292-2505 | |
| (323) 292-2502 |
| Full Name | Chantiste Beal Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8540 S Sepulveda Blvd Ste 900, Los Angeles, California |
| Authorized Official Name and Position | Chantiste Beal (OWNER) |
| Authorized Official Contact | 3233271551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chantiste Beal Dds Inc 12115 2nd Ave Lynwood CA 90262-4561 Ph: (323) 327-1551 | Chantiste Beal Dds Inc 8540 S Sepulveda Blvd Ste 900 Los Angeles CA 90045-3808 Ph: (323) 292-2505 |
| NPI Number | 1396456976 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396456976 | NPI | - | NPPES |
| 57857 | Other | CA | DENTAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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