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1285179697
DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION
VICTORVILLE, CA
NPI
1285179697
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Entity Type
Organization
Authorized Contact
JAMES JESSE
Dds/Owner
760-951-9304
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: CA 23785)
Enumeration Date
2016-12-21
Last Update Date
2016-12-21
Business Address
DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION
15401 ANACAPA RD STE 3
VICTORVILLE, CA 92392-2466
Phone number: 760-951-9304
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Mailing Address
DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION
15401 ANACAPA RD STE 3
VICTORVILLE, CA 92392-2466
Phone number: 760-951-9304
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