Organization
STEPHEN E NEEDLE DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NEEDLE DDS (PRESIDENT)
(310) 453-5330
Entity
Organization
Contact information
Practice address
1301 20TH ST, SUITE 400, SANTA MONICA, CA 90404-2050
(310) 453-5330
Mailing address
1301 20TH ST, SUITE 400, SANTA MONICA, CA 90404-2050
(310) 453-5330
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
23856
CA
Other
Enumeration date
08/11/2011
Last updated
07/03/2012
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