Provider Demographics
NPI:1356537849
Name:BEEMAN, SYLVIA OFELIA (D,DS)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:OFELIA
Last Name:BEEMAN
Suffix:
Gender:F
Credentials:D,DS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3858 E COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3940
Mailing Address - Country:US
Mailing Address - Phone:626-795-4251
Mailing Address - Fax:
Practice Address - Street 1:3858 E COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3940
Practice Address - Country:US
Practice Address - Phone:626-795-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA392321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice