| Desert Dental Group | |
|
15209 Bear Valley Rd Suite B Hesperia CA 92345-1610 | |
| (760) 241-1666 | |
| (760) 948-0126 |
| Full Name | Desert Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15209 Bear Valley Rd, Hesperia, California |
| Authorized Official Name and Position | Joseph A Foroosh (OWNER) |
| Authorized Official Contact | 7602413336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Dental Group 15209 Bear Valley Rd Suite B Hesperia CA 92345-1610 Ph: (760) 241-1666 | Desert Dental Group 15209 Bear Valley Rd Suite B Hesperia CA 92345-1610 Ph: (760) 241-1666 |
| NPI Number | 1720039050 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720039050 | NPI | - | NPPES |
| G9170805 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28643 (California) | Primary |
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