DR. Kenneth J Brust
NPI #1821207507 in Hesperia, California
Provider Information
- NPI Number
- 1821207507
- Entity Type
- Individual
- Name
- DR. Kenneth J Brust
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 16990 MAIN ST
- Address 2
- SUITE 1
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-7919
- Phone
- (760) 244-7232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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