Provider Demographics
NPI:1053567248
Name:BEACH TEETH
Entity type:Organization
Organization Name:BEACH TEETH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:OZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-545-4440
Mailing Address - Street 1:451 MANHATTAN BEACH BLVD STE C232
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-5359
Mailing Address - Country:US
Mailing Address - Phone:310-545-4440
Mailing Address - Fax:310-545-4441
Practice Address - Street 1:451 MANHATTAN BEACH BLVD STE C232
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-5359
Practice Address - Country:US
Practice Address - Phone:310-545-4440
Practice Address - Fax:310-545-4441
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANNE NORRIS OZER, DDS & STEVE W. OZER, DDS , APC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA296441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty