Jefferson and Chokka Dental Corporation
NPI #1902003593 in Fontana, California
Provider Information
- NPI Number
- 1902003593
- Entity Type
- Organization
- Organization Name
- Jefferson and Chokka Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 16475 SIERRA LAKES PARKWAY
- Address 2
- SUITE 140
- City
- Fontana
- State
- California
- ZIP Code
- 92336
- Phone
- (909) 357-0869
Authorized Official
- Name
- DR. WALTER JEFFERSON, DDS
- Title
- OWNER
- Phone
- (909) 357-0869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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