Provider Demographics
NPI:1275636367
Name:BARLOW, FREDERICK LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:LEE
Last Name:BARLOW
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 1:23451 MADISON ST #180
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4760
Mailing Address - Country:US
Mailing Address - Phone:310-378-8494
Mailing Address - Fax:310-791-0572
Practice Address - Street 1:23451 MADISON ST #180
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4760
Practice Address - Country:US
Practice Address - Phone:310-378-8494
Practice Address - Fax:310-791-0572
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA244301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice