Organization
CHANTISTE BEAL DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANTISTE BEAL DMD (DENTIST)
(323) 292-2505
Entity
Organization
Contact information
Practice address
5830 OVERHILL DR, SUIT #1, LOS ANGELES, CA 90043-2710
(323) 292-2505
Mailing address
12115 2ND AVE, LYNWOOD, CA 90262-4561
(323) 292-2505
(323) 292-2502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57857
CA
Other
Enumeration date
08/28/2015
Last updated
09/03/2015
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