| Maple Dental | |
|
14466 Main St Suite B107 Hesperia CA 92345-4664 | |
| (760) 949-7274 | |
| (760) 949-9515 |
| Full Name | Maple Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14466 Main St, Hesperia, California |
| Authorized Official Name and Position | Nhien T Luu (PRESIDENT) |
| Authorized Official Contact | 7609497274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Dental 14466 Main St Suite B107 Hesperia CA 92345-4664 Ph: (760) 949-7274 | Maple Dental 14466 Main St Suite B107 Hesperia CA 92345-4664 Ph: (760) 949-7274 |
| NPI Number | 1255667382 |
|---|---|
| Provider Enumeration Date | 10/24/2009 |
| Last Update Date | 10/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255667382 | NPI | - | NPPES |
| 1104080167 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48826 (California) | Primary |
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