Elaine Abante Bersaba Vong, DDS

NPI #1215563622 in Hesperia, California

Provider Information

NPI Number: 1215563622
Entity Type: Individual
Name: Elaine Abante Bersaba Vong, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 17, 2020
Last Updated: Sep 25, 2020

Practice Location

Address: 12821 MAIN ST STE 150
City: Hesperia
State: California
ZIP Code: 92345-9130
Phone: (760) 947-9853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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