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Organization
OATES AND JEFFERSON DENTAL CORPORATION
Active
Organization
OATES AND JEFFERSON DENTAL CORPORATION
Active
Other names
Hermosa Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JEFFERSON DDS (OWNER)
(310) 372-7686
Entity
Organization
Contact information
Practice address
1559 PACIFIC COAST HWY, SUITE 101, HERMOSA BEACH, CA 90254-3214
(310) 372-7686
(310) 372-7692
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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