Provider Demographics
NPI:1144238130
Name:BEECHEY, DEMETRIA MARIANO (DDS)
Entity Type:Individual
Prefix:
First Name:DEMETRIA
Middle Name:MARIANO
Last Name:BEECHEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14712 PARTHENIA ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402
Mailing Address - Country:US
Mailing Address - Phone:818-830-6070
Mailing Address - Fax:818-830-4858
Practice Address - Street 1:14712 PARTHENIA ST
Practice Address - Street 2:SUITE E
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402
Practice Address - Country:US
Practice Address - Phone:818-830-6070
Practice Address - Fax:818-830-4858
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2014-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42275122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist