Hesperia Dental Center Inc.

NPI #1417407677 in Hesperia, California

Provider Information

NPI Number: 1417407677
Entity Type: Organization
Organization Name: Hesperia Dental Center Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 11, 2016
Last Updated: Oct 11, 2016

Practice Location

Address: 16990 MAIN ST
Address 2: SUITE 1
City: Hesperia
State: California
ZIP Code: 92345-7919
Phone: (760) 244-7232

Authorized Official

Name: DR. KENNETH J. BRUST, D.D.S.
Title: DENTIST
Phone: (760) 244-7232

Specialties & Taxonomy Codes

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

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