Fallis, Mathias Stephen

Fallis, Mathias Stephen is an individual health care provider with primary practice located at 1720 Ardmore Ave , Hermosa Beach CA 90254-3025. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Fallis, Mathias Stephen can be contacted via phone (213) 293-7730.

Contact Information

Primary practice address
1720 Ardmore Ave Hermosa Beach CA 90254-3025
Phone: (213) 293-7730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 102159 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 102159 California

Profile Details

NPI number 1043737430
LBN Legal business name Fallis, Mathias Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2017
Last updated Mar 11th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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