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Organization

W. FREDERICK STEPHENS,DDS,INC

Active
Other names
The Pacific Coast Center for Oral & Facial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM FREDERICK STEPHENS (OWNER/PRESIDENT)
(626) 440-0099
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
04/15/2008
Last updated
02/13/2015
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