Fred C. Stalley,d.d.s. Inc.

NPI 1144342908 - Dentist - 1223G0001X

NPI Details
NPI 1144342908
Enumeration Date 04/04/2007
Last Updated 10/07/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRED C FRED
Position DENTIST
Phone (310) 542-6988
Fax (310) 542-3182
Practice Location
2511 ARTESIA BLVD
REDONDO BEACH CA, 90278-3209, US
Phone (310) 542-6988
Fax (310) 542-3182
Business Location
2511 ARTESIA BLVD
REDONDO BEACH CA, 90278-3209, US
Phone (310) 542-6988
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 28095
Remove 1144342908 NPI Number
 

According to our database, Fred C. Stalley,d.d.s. Inc. NPI is 1144342908, taxonomy code is 1223G0001X and license number is 28095, license state is located at California. Fred C. Stalley,d.d.s. Inc. physically located at 2511 Artesia Blvd, Redondo Beach CA, 90278-3209. NPI Number 1033115704 has the healthcare provider type.

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1144342908 NPI number is provided on an as is basis without warranty of any kind. 1144342908 is maintained by the National Plan & Provider Enumeration System. The contents of Fred C. Stalley,d.d.s. Inc. are for informational purposes only.