Walter Jefferson Dental Corporation

NPI #1316291628 in Torrance, California

Provider Information

NPI Number: 1316291628
Entity Type: Organization
Organization Name: Walter Jefferson Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Nov 8, 2012
Last Updated: Nov 8, 2012

Practice Location

Address: 2740 PACIFIC COAST HWY
City: Torrance
State: California
ZIP Code: 90505-7002
Phone: (310) 534-3002

Authorized Official

Name: DR. WALTER JEFFERSON, DDS
Title: OWNER DOCTOR
Phone: (310) 534-3002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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