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1821207507
KENNETH J BRUST
HESPERIA, CA
NPI
1821207507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 43905)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Dr. KENNETH J BRUST
16990 MAIN ST SUITE 1
HESPERIA, CA 92345-7919
Phone number: 760-244-7232
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Mailing Address
Dr. KENNETH J BRUST
16990 MAIN ST SUITE 1
HESPERIA, CA 92345-7919
Phone number:
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