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Individual

DR. MATHIAS STEPHEN FALLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
500 S SEPULVEDA BLVD STE 216, MANHATTAN BEACH, CA 90266-6976
(424) 587-0472
Mailing address
500 S SEPULVEDA BLVD STE 216, MANHATTAN BEACH, CA 90266-6976

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
102159
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
102159
CA

Other

Enumeration date
08/25/2017
Last updated
04/03/2026
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