Individual
DR. JESSE HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1465 N FRONTAGE RD, HASTINGS, MN 55033-2355
(831) 826-1099
Mailing address
2555 FENTON PKWY APT 315, SAN DIEGO, CA 92108-6772
(831) 261-0999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15004
MN
1223G0001X
General Practice Dentistry
DDS104406
CA
Other
Enumeration date
11/01/2019
Last updated
09/19/2023
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