| Walter Jefferson Dental Corporation | |
| 
					962 Sepulveda Blvd Harbor City CA 90710-1405  | |
| (310) 539-3245 | |
| Not Available | 
| Full Name | Walter Jefferson Dental Corporation | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 962 Sepulveda Blvd, Harbor City, California | 
| Authorized Official Name and Position | Walter Jefferson (OWNER) | 
| Authorized Official Contact | 3105393245 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Walter Jefferson Dental Corporation 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890  | Walter Jefferson Dental Corporation 962 Sepulveda Blvd Harbor City CA 90710-1405 Ph: (310) 539-3245  | 
| NPI Number | 1437700952 | 
|---|---|
| Provider Enumeration Date | 09/25/2019 | 
| Last Update Date | 09/25/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437700952 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
Claudia Romano-hoard, D.d.s., A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1537 Lomita Blvd, Harbor City, CA 90710 Phone: 310-530-5252 Fax: 310-530-6922  | |
Grant Shandler, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Pacific Coast Hwy Ste 21, Harbor City, CA 90710 Phone: 323-688-6965  | |
Aldwin D Lumanlan Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26640 Western Ave Ste I, Harbor City, CA 90710 Phone: 408-307-3669  | |
Richard A. Simms, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25617 Dodge Ave, Harbor City, CA 90710 Phone: 310-835-3144 Fax: 310-830-4966  | |
Maritess Tinoco, Dds And Diana Simbol, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 W. Lomita Blvd. Suite 306, Harbor City, CA 90710 Phone: 310-530-1175  | |
Lenny Dayrit Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26640 Western Ave Ste M, Harbor City, CA 90710 Phone: 310-325-8111  |