Individual
DR. CHANTISTE BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5010 S LA BREA AVE, SUITE, LOS ANGELES, CA 90056-1800
(562) 381-5626
(310) 635-0117
Mailing address
12115 2ND AVE, SUITE, LYNWOOD, CA 90262-4561
(562) 381-5626
(310) 635-0117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57857
CA
Other
Enumeration date
11/26/2008
Last updated
06/04/2010
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