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Dental Specialties 2nd Dr, Jesse A Professional Corporation
Point of Service in Victorville, California
NPI 1285179697

Dental Specialties 2nd Dr, Jesse A Professional Corporation is a Point of Service based in Victorville, CA. Dental Specialties 2nd Dr, Jesse A Professional Corporation practices in Victorville, CA. The NPI Number for Dental Specialties 2nd Dr, Jesse A Professional Corporation is 1285179697 and holds a License No. 23785 (California).

The current practice location address for Dental Specialties 2nd Dr, Jesse A Professional Corporation is 15401 Anacapa Rd Ste 3, Victorville, CA and can be reached out via phone at 760-951-9304 and via fax at 951-396-3335.

Location: 15401 Anacapa Rd Ste 3, Victorville, CA, 92392-2466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285179697
Provider Name
Dental Specialties 2nd Dr, Jesse A Professional Corporation
Credential
Provider Entity Type
Organization
Address
15401 Anacapa Rd Ste 3, Victorville, CA, 92392-2466
Phone Number
760-951-9304
Fax Number
951-396-3335
Provider Enumeration Date
12/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15401 Anacapa Rd Ste 3
City
Victorville
State
California
Zip
92392-2466
Phone Number
760-951-9304
Fax Number
951-396-3335
person
Provider Business Mailing Address Details
Address
15401 Anacapa Rd Ste 3
City
Victorville
State
California
Zip
92392-2466
Phone Number
760-951-9304
Fax Number
951-396-3335
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
23785 (California)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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