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Individual

DR. JOHN E. BEUMER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS,MS

Contact information

Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-6510
(310) 206-4201
Mailing address
PO BOX 84582, LOS ANGELES, CA 90073-0582
(310) 825-6510
(310) 206-4201

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D19585
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G91297-01
CA
Enumeration date
05/04/2007
Last updated
02/26/2008
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