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Organization
FRED C. STALLEY,D.D.S. INC.
Active
Organization
FRED C. STALLEY,D.D.S. INC.
Active
Other names
Redondo Beach Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED C STALLEY D.D.S. (DENTIST)
(310) 542-6988
Entity
Organization
Contact information
Practice address
2511 ARTESIA BLVD, REDONDO BEACH, CA 90278-3209
(310) 542-6988
(310) 542-3182
Mailing address
2511 ARTESIA BLVD, REDONDO BEACH, CA 90278-3209
(310) 542-6988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28095
CA
Other
Enumeration date
04/04/2007
Last updated
10/07/2008
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