| The Pacific Coast Center For Oral & Facial Surgery | |
|
301 S Fair Oaks Ave Suite #107 Pasadena CA 91105-2561 | |
| (626) 440-0099 | |
| (626) 440-1002 |
| Full Name | The Pacific Coast Center For Oral & Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 301 S Fair Oaks Ave, Pasadena, California |
| Authorized Official Name and Position | William Frederick Stephens (OWNER/PRESIDENT) |
| Authorized Official Contact | 6264400099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pacific Coast Center For Oral & Facial Surgery 301 S Fair Oaks Ave Suite #107 Pasadena CA 91105-2561 Ph: (626) 440-0099 | The Pacific Coast Center For Oral & Facial Surgery 301 S Fair Oaks Ave Suite #107 Pasadena CA 91105-2561 Ph: (626) 440-0099 |
| NPI Number | 1174797708 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 02/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174797708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 34775 (California) | Primary |
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