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Organization
JEREMIAH BEISEL DDS, INC.
Active
Organization
JEREMIAH BEISEL DDS, INC.
Active
Other names
Encino ProDental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH BEISEL (PRESIDENT)
(818) 788-7181
Entity
Organization
Contact information
Practice address
15720 VENTURA BLVD STE 301, ENCINO, CA 91436-2983
(818) 788-7181
Mailing address
15720 VENTURA BLVD STE 301, ENCINO, CA 91436-2983
(818) 788-7181
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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