| NPI | 1316291628 |
|---|---|
| Doing Business As | PCH SMILES DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | WALTER JEFFERSON Owner Doctor 310-534-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |