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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION

Active Organization

DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION is a Point of Service organization located in VICTORVILLE, California. NPI 1285179697 is currently active in the NPPES registry. Verify at CMS.

Point of Service · VICTORVILLE, CA

Registration Details

NPI Number
1285179697
Provider Type
Organization
NPI Issued
Dec 21, 2016 (9.4629537005256 yrs)
Last Updated
Dec 21, 2016
License
23785 (CA)

Practice Information

Address
15401 ANACAPA RD STE 3
VICTORVILLE, CA, 923922466
Browse CA providers · Browse ZIP 92392
Phone
7609519304
Fax
9513963335
Primary Specialty
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.