| Oates And Jefferson Dental Corporation | |
| 
					1559 Pacific Coast Hwy Suite 101 Hermosa Beach CA 90254-3214  | |
| (310) 372-7686 | |
| (310) 372-7692 | 
| Full Name | Oates And Jefferson Dental Corporation | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1559 Pacific Coast Hwy, Hermosa Beach, California | 
| Authorized Official Name and Position | Walter Jefferson (OWNER) | 
| Authorized Official Contact | 3103727686 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Oates And Jefferson Dental Corporation 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890  | Oates And Jefferson Dental Corporation 1559 Pacific Coast Hwy Suite 101 Hermosa Beach CA 90254-3214 Ph: (310) 372-7686  | 
| NPI Number | 1174961536 | 
|---|---|
| Provider Enumeration Date | 06/07/2013 | 
| Last Update Date | 06/07/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174961536 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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