Organization
DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JESSE (DDS/OWNER)
(760) 951-9304
Entity
Organization
Contact information
Practice address
15401 ANACAPA RD STE 3, VICTORVILLE, CA 92392-2466
(760) 951-9304
(951) 396-3335
Mailing address
15401 ANACAPA RD STE 3, VICTORVILLE, CA 92392-2466
(760) 951-9304
(951) 396-3335
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
23785
CA
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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