Provider Demographics
NPI:1619377058
Name:PARTHENIA FAMILY DENTAL, DEMETRIA M. BEECHEY,DDS,INC.
Entity Type:Organization
Organization Name:PARTHENIA FAMILY DENTAL, DEMETRIA M. BEECHEY,DDS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEECHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-830-6070
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:91402-2992
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:91402-2992
Practice Address - Country:US
Practice Address - Phone:818-830-6070
Practice Address - Fax:818-830-4858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42275122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty