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DR. KENNETH J BRUST

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1821207507

Individual Registrant:
DR. KENNETH J BRUST 
Gender: M
Sole Proprietor

Location and contact information for practice:
16990 MAIN ST SUITE 1 HESPERIA, CA 92345-7919 US
Tel: 760-244-7232  Fax: --

Contact information for business:
16990 MAIN ST SUITE 1 HESPERIA, CA 92345-7919 US
Tel: --  Fax: --

Registration Information:
NPI: 1821207507
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA43905

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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