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Dr. Gardner Leonard Beale, DDS
Pediatric Dentist in Los Angeles, California
NPI 1295971000

Gardner Leonard Beale is a Pediatric Dentist based in Los Angeles, CA and is specialized in Pediatric Dentistry. Gardner Leonard Beale practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Gardner Leonard Beale is 1295971000 and holds a License No. 25479 (California).

The current practice location address for Gardner Leonard Beale is 8930 S Sepulveda Blvd Ste 205, Los Angeles, CA and can be reached out via phone at 310-641-9233 and via fax at 310-641-7873.

Location: 8930 S Sepulveda Blvd Ste 205, Los Angeles, CA, 90045-3624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295971000
Provider Name
Gardner Leonard Beale
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
8930 S Sepulveda Blvd Ste 205, Los Angeles, CA, 90045-3624
Phone Number
310-641-9233
Fax Number
310-641-7873
Provider Enumeration Date
12/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8930 S Sepulveda Blvd Ste 205
City
Los Angeles
State
California
Zip
90045-3624
Phone Number
310-641-9233
Fax Number
310-641-7873
person
Provider Business Mailing Address Details
Address
8930 S Sepulveda Blvd Ste 205
City
Los Angeles
State
California
Zip
90045-3624
Phone Number
310-641-9233
Fax Number
310-641-7873
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
25479 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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