Individual provider · Type 1 NPI

Kenneth J. Brust

General Practice Dentistry · Hesperia, CA

NPI number 1821207507 Active

About NPI 1821207507

Kenneth J. Brust's National Provider Identifier is 1821207507, issued on May 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hesperia, CA. The record was last updated on Jul 8, 2007.