Individual
DR. NIA BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3004 GENTILLY BLVD, NEW ORLEANS, LA 70122-3808
(504) 435-1800
Mailing address
3004 GENTILLY BLVD, NEW ORLEANS, LA 70122-3808
(504) 435-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105632
CA
Other
Enumeration date
10/12/2020
Last updated
12/11/2021
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