Walter Jefferson Dental Corporation

LBN: Walter Jefferson Dental Corporation
Walter Jefferson Dental Corporation is an health care organization with primary practice located at 962 Sepulveda Blvd , Harbor City CA 90710-1405. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Walter Jefferson Dental Corporation can be contacted via phone (310) 539-3245, or through Jefferson, Walter via phone (310) 539-3245.

Contact Information

Primary practice address
962 Sepulveda Blvd Harbor City CA 90710-1405
Phone: (310) 539-3245
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jefferson, Walter Doctor of Dental Surgery (DDS)
Phone: (310) 539-3245

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1437700952
LBN Legal business name Walter Jefferson Dental Corporation
DBA Doing business as
Authorized official Jefferson, Walter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2019
Last updated Sep 25th, 2019 - about 5 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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