| Redondo Beach Dental Group | |
|
2511 Artesia Blvd Redondo Beach CA 90278-3209 | |
| (310) 542-6988 | |
| (310) 542-3182 |
| Full Name | Redondo Beach Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2511 Artesia Blvd, Redondo Beach, California |
| Authorized Official Name and Position | Fred C Stalley (DENTIST) |
| Authorized Official Contact | 3105426988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redondo Beach Dental Group 2511 Artesia Blvd Redondo Beach CA 90278-3209 Ph: (310) 542-6988 | Redondo Beach Dental Group 2511 Artesia Blvd Redondo Beach CA 90278-3209 Ph: (310) 542-6988 |
| NPI Number | 1144342908 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144342908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28095 (California) | Primary |
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