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Organization
JEFFERSON AND CHOKKA PROFESSIONAL DENTAL CORPORATION
Active
Organization
JEFFERSON AND CHOKKA PROFESSIONAL DENTAL CORPORATION
Active
Other names
HIGHLAND DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER JEFFERSON DDS (OWNE DOCTOR)
(909) 864-6010
Entity
Organization
Contact information
Practice address
27949 GREENSPOT ROAD, SUITE H, HIGHLAND, CA 92346
(909) 864-6010
(909) 864-6052
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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