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Licensing details for: 82802

Name: WALTER JEFFERSON, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: PCH Smiles Dentistry, Inc.

Address of Record

2740 Pacific Coast Hwy.
TORRANCE CA 90505
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Issuance Date

April 7, 2026

Expiration Date

July 31, 2028

Current Date / Time

June 5, 2026
8:57:32 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: JEFFERSON, WALTER

License/Registration Type: Dentist License

License Number: 53460 Primary Status: Current - Active

Address :
16475 SIERRA LAKES PKWY
STE 140
FONTANA CA 92336
SAN BERNARDINO COUNTY

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