| NPI | 1144342908 |
|---|---|
| Doing Business As | REDONDO BEACH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | FRED C STALLEY Dentist 310-542-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28095) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-10-07 |