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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