| NPI | 1396456976 |
|---|---|
| Doing Business As | CHANTISTE BEAL |
| Entity Type | Organization |
| Authorized Contact | CHANTISTE BEAL Owner 323-327-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |