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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