Sierra Lakes Dental Group

LBN: Jefferson And Chokka Dental Corporation
Sierra Lakes Dental Group is an health care organization with primary practice located at 16475 Sierra Lakes Parkway Suite 140, Fontana CA 92336. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jefferson And Chokka Dental Corporation can be contacted via phone (909) 357-0869, or through Jefferson, Walter via phone (909) 357-0869.

Contact Information

Primary practice address
16475 Sierra Lakes Parkway Suite 140 Fontana CA 92336
Fax: (909) 357-4887
Website:
Authorized official contact:
Name: Jefferson, Walter Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1902003593
LBN Legal business name Jefferson And Chokka Dental Corporation
DBA Doing business as Sierra Lakes Dental Group
Authorized official Jefferson, Walter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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