Individual
ALEXIS HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4690 GENESEE AVE, SAN DIEGO, CA 92117-3000
(858) 560-9696
Mailing address
4690 GENESEE AVE, SAN DIEGO, CA 92117-3000
(858) 560-9696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
109250
CA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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