Organization · Type 2 NPI
Dental Specialties 2nd Dr, Jesse A Professional Corporation
Point of Service · Victorville, CA
NPI number
1285179697
Active
Practice location
15401 Anacapa Rd Ste 3
Victorville, CA 92392-2466
Fax (951) 396-3335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 23785 (CA) |
Point of Service: 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.
2 other providers at this address
About NPI 1285179697
Dental Specialties 2nd Dr, Jesse A Professional Corporation's National Provider Identifier is 1285179697, issued on Dec 21, 2016. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Victorville, CA. The record was last updated on Dec 21, 2016.