DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION is a point of service in Victorville, CA. The provider is 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. DENTAL SPECIALTIES 2ND DR, JESSE A PROFESSIONAL CORPORATION NPI is 1285179697. The provider is registered as an organization entity type.
The provider's business location address is:
15401 ANACAPA RD STE 3
VICTORVILLE, CA
ZIP 92392-466
Phone: (760) 951-9304
Fax: (951) 396-3335
The provider's authorized official is James Jesse .
The authorized official title is Dds/owner and has the following contact phone number (760) 951-9304.
The enumeration date for this NPI number is 12/21/2016 and was last updated on 12/21/2016.