Oates And Jefferson Dental Corporation

NPI 1174961536 - Dentist - 1223G0001X

NPI Details
NPI 1174961536
Enumeration Date 06/07/2013
Last Updated 06/07/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WALTER WALTER
Position OWNER
Phone (310) 372-7686
Fax (310) 372-7692
Practice Location
1559 PACIFIC COAST HWY
SUITE 101
HERMOSA BEACH CA, 90254-3214, US
Phone (310) 372-7686
Fax (310) 372-7692
Business Location
17000 RED HILL AVE
IRVINE CA, 92614-5626, US
Phone (714) 845-8890
Fax (949) 474-1495
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Oates And Jefferson Dental Corporation NPI is 1174961536, taxonomy code is 1223G0001X Oates And Jefferson Dental Corporation physically located at 1559 Pacific Coast Hwy, Hermosa Beach CA, 90254-3214. NPI Number 1033115704 has the healthcare provider type.

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1174961536 NPI number is provided on an as is basis without warranty of any kind. 1174961536 is maintained by the National Plan & Provider Enumeration System. The contents of Oates And Jefferson Dental Corporation are for informational purposes only.