| Hermosa Smiles Dentistry | |
|
1559 Pacific Coast Hwy Suite 101 Hermosa Beach CA 90254-3214 | |
| (310) 372-7686 | |
| (310) 372-7692 |
| Full Name | Hermosa Smiles Dentistry |
|---|---|
| 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 |
|---|---|
| Hermosa Smiles Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Hermosa Smiles Dentistry 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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