Individual
DR. CHANTELLE ASAL GHIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
1658 CAMDEN AVE, LOS ANGELES, CA 90025-7548
(818) 730-1209
Mailing address
14941 ADDISON ST, SHERMAN OAKS, CA 91403-1336
(818) 730-1209
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
102691
CA
Other
Enumeration date
09/20/2020
Last updated
09/28/2020
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