Individual
BRENT HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDSMSPC
Contact information
Practice address
1207 CARLSBAD VILLAGE DR STE P, CARLSBAD, CA 92008-1958
(760) 729-8101
(760) 729-9696
Mailing address
1207 CARLSBAD VILLAGE DR. #P, CARLSBAD, CA 92008
(760) 729-8101
(760) 729-9696
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
44486
CA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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