Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Walter Jefferson Dental Corporation

Organization General Practice Dentistry · NPI 1437700952

Walter Jefferson Dental Corporation provides General Practice Dentistry in Harbor City, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

962 Sepulveda Blvd
Harbor City, CA 90710-1405
Phone: (310) 539-3245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1437700952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Jefferson — Owner · (310) 539-3245
Other names Harbor City Modern Dentistry Dental Group
NPI enumeratedSeptember 25, 2019
Last updated in NPPESSeptember 25, 2019
Mailing address17000 Red Hill Ave, Irvine, CA 92614-5626

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