Individual
CHANEL CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5479 E ABBEYFIELD ST STE 4, LONG BEACH, CA 90815-3050
(562) 597-1414
Mailing address
624 E 87TH PL APT 2, LOS ANGELES, CA 90002-1003
(323) 899-1835
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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