Individual
DR. GARDNER LEONARD BEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8930 S SEPULVEDA BLVD STE 205, LOS ANGELES, CA 90045-3624
(310) 641-9233
(310) 641-7873
Mailing address
8930 S SEPULVEDA BLVD STE 205, LOS ANGELES, CA 90045-3624
(310) 641-9233
(310) 641-7873
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
25479
CA
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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