Hesperia Dental Center Inc. | |
16990 Main St Suite 1 Hesperia CA 92345-7919 | |
(760) 244-7232 | |
(760) 244-5104 |
Full Name | Hesperia Dental Center Inc. |
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Speciality | Dentist - General Practice |
Location | 16990 Main St, Hesperia, California |
Authorized Official Name and Position | Kenneth J. Brust (DENTIST) |
Authorized Official Contact | 7602447232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hesperia Dental Center Inc. 16990 Main St Suite 1 Hesperia CA 92345-7919 Ph: (760) 244-7232 | Hesperia Dental Center Inc. 16990 Main St Suite 1 Hesperia CA 92345-7919 Ph: (760) 244-7232 |
NPI Number | 1417407677 |
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Provider Enumeration Date | 10/11/2016 |
Last Update Date | 10/11/2016 |
Identifier | Type | State | Issuer |
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1417407677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 43905 (California) | Primary |
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