| Sierra Lakes Dental Group | |
|
16475 Sierra Lakes Parkway Suite 140 Fontana CA 92336 | |
| (909) 357-0869 | |
| (909) 357-4887 |
| Full Name | Sierra Lakes Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16475 Sierra Lakes Parkway, Fontana, California |
| Authorized Official Name and Position | Walter Jefferson (OWNER) |
| Authorized Official Contact | 9093570869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Lakes Dental Group 2860 Michelle 2nd Floor Irvine CA 92606-1009 Ph: (714) 508-3600 | Sierra Lakes Dental Group 16475 Sierra Lakes Parkway Suite 140 Fontana CA 92336 Ph: (909) 357-0869 |
| NPI Number | 1902003593 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902003593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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