# W. FREDERICK STEPHENS,DDS,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pacific Coast Center for Oral & Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174797708
- **Authorized official:** DR. WILLIAM FREDERICK STEPHENS (OWNER/PRESIDENT)
- **Authorized official phone:** (626) 440-0099

## Contact information

- **Practice address:** 301 S FAIR OAKS AVE, SUITE \#107, PASADENA, CA 91105-2561
- **Practice address phone:** (626) 440-0099
- **Practice address fax:** (626) 440-1002
- **Mailing address:** 301 S FAIR OAKS AVE, SUITE \#107, PASADENA, CA 91105-2561
- **Mailing address phone:** (626) 440-0099
- **Mailing address fax:** (626) 440-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 34775 | CA | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 02/13/2015