Dejesus, Dexter Reyes
Dejesus, Dexter Reyes is an individual health care provider with primary practice located at 12640 Hesperia Rd Ste A , Victorville CA 92395-7753. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dejesus, Dexter Reyes can be contacted via phone (760) 241-3336.Contact Information
Primary practice address
12640 Hesperia Rd Ste A
Victorville CA 92395-7753
Phone: (760) 241-3336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 49870 | California |
Profile Details
| NPI number | 1902016876 |
|---|---|
| LBN Legal business name | Dejesus, Dexter Reyes |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902016876 | NPPES |
| California | Other | G91708.01 | MEDICAL |
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