Hesperia Central Dental | |
16922 Main St Ste F Hesperia CA 92345-6011 | |
(760) 244-4844 | |
(760) 244-5002 |
Full Name | Hesperia Central Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 16922 Main St Ste F, Hesperia, California |
Authorized Official Name and Position | Yong J Shin (CEO) |
Authorized Official Contact | 7602444844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hesperia Central Dental 16922 Main St Ste F Hesperia CA 92345-6011 Ph: (760) 244-4844 | Hesperia Central Dental 16922 Main St Ste F Hesperia CA 92345-6011 Ph: (760) 244-4844 |
NPI Number | 1770736399 |
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Provider Enumeration Date | 10/28/2008 |
Last Update Date | 10/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770736399 | NPI | - | NPPES |
49670 | Other | CA | CALIFORNIA DENTIST LISENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 49670 (California) | Primary |
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