Stalley, Fred C
Stalley, Fred C is an sole proprietor health care provider with primary practice located at 2511 Artesia Blvd , Redondo Beach CA 90278-3209. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stalley, Fred C can be contacted via phone (310) 542-6988.Contact Information
Primary practice address
2511 Artesia Blvd
Redondo Beach CA 90278-3209
Phone: (310) 542-6988
Fax: (310) 542-3182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28095 | California |
Profile Details
| NPI number | 1598887382 |
|---|---|
| LBN Legal business name | Stalley, Fred C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years 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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