Provider Demographics
NPI:1851573513
Name:FEHLING, ALFRED WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:WILLIAM
Last Name:FEHLING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41011 CALIFORNIA OAKS RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5751
Mailing Address - Country:US
Mailing Address - Phone:951-698-4448
Mailing Address - Fax:951-698-4418
Practice Address - Street 1:41011 CALIFORNIA OAKS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5751
Practice Address - Country:US
Practice Address - Phone:951-698-4448
Practice Address - Fax:951-698-4418
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26629122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA985560OtherUNITED CONCORDIA