Brent Hurst, DDSMSPC Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Carlsbad, CA

NPI

1164512653

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

44486 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-13

Last updated

2007-07-08