FRED C. STALLEYD.D.S. INC. NPI 1144342908

NPI Information

FRED C. STALLEY,D.D.S. INC. is a general practice dentist in Redondo Beach, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FRED C. STALLEY,D.D.S. INC. NPI is 1144342908. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Redondo Beach Dental Group.

The provider's business location address is:

2511 ARTESIA BLVD
REDONDO BEACH, CA
ZIP 90278-209
Phone: (310) 542-6988
Fax: (310) 542-3182

The provider's authorized official is Fred C Stalley .
The authorized official title is Dentist and has the following contact phone number (310) 542-6988.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 10/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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