| |
12640 Hesperia Rd Suite A Victorville CA 92395-7753 | |
(760) 241-3336 | |
(760) 243-7247 |
Full Name | |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 12640 Hesperia Rd, Victorville, 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 |
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12640 Hesperia Rd Suite A Victorville CA 92395-7753 Ph: (760) 241-3336 | 12640 Hesperia Rd Suite A Victorville CA 92395-7753 Ph: (760) 241-3336 |
NPI Number | 1639120041 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639120041 | NPI | - | NPPES |
G91708-01 | Other | CA | DENTI-CAL |
62057 | Other | CA | SAFEGUARD DHMO |
784059 | Other | CA | UNITED CONCORDIA |
D163173 | Other | CA | CIGNA DHMO |
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