| Jeremiah Beisel Dds, Inc. | |
|
15720 Ventura Blvd Ste 301 Encino CA 91436-2983 | |
| (818) 788-7181 | |
| Not Available |
| Full Name | Jeremiah Beisel Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15720 Ventura Blvd Ste 301, Encino, California |
| Authorized Official Name and Position | Jeremiah Beisel (PRESIDENT) |
| Authorized Official Contact | 8187887181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah Beisel Dds, Inc. 15720 Ventura Blvd Ste 301 Encino CA 91436-2983 Ph: (818) 788-7181 | Jeremiah Beisel Dds, Inc. 15720 Ventura Blvd Ste 301 Encino CA 91436-2983 Ph: (818) 788-7181 |
| NPI Number | 1457906869 |
|---|---|
| Provider Enumeration Date | 08/03/2019 |
| Last Update Date | 08/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457906869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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