Jefferson and Chokka Professional Dental Corporation
NPI #1366688525 in Highland, California
Provider Information
- NPI Number
- 1366688525
- Entity Type
- Organization
- Organization Name
- Jefferson and Chokka Professional Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 18, 2008
- Last Updated
- Dec 18, 2008
Practice Location
- Address
- 27949 GREENSPOT ROAD
- Address 2
- SUITE H
- City
- Highland
- State
- California
- ZIP Code
- 92346
- Phone
- (909) 864-6010
Authorized Official
- Name
- DR. WALTER JEFFERSON, DDS
- Title
- OWNE DOCTOR
- Phone
- (909) 864-6010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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