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Organization
WALTER JEFFERSON DENTAL CORPORATION
Active
Organization
WALTER JEFFERSON DENTAL CORPORATION
Active
Other names
PCH Smiles Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JEFFERSON DDS (OWNER DOCTOR)
(310) 534-3002
Entity
Organization
Contact information
Practice address
2740 PACIFIC COAST HWY, TORRANCE, CA 90505-7002
(310) 534-3002
(310) 534-3017
Mailing address
2860 MICHELLE FL 2, IRVINE, CA 92606-1008
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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