Elaine Abante Bersaba Vong, DDS in Hesperia, CA - Dentist

Elaine Abante Bersaba Vong, DDS is a Dentist - General Practice based in Hesperia, California. Elaine Abante Bersaba Vong is licensed to practice in California (license number DDS103724) and her current practice location is 12821 Main St Ste 150, Hesperia, California. She can be reached at her office (for appointments etc.) via phone at (760) 947-9853.

NPI number for Elaine Abante Bersaba Vong is 1215563622 and her current mailing address is 12481 Kokomo Ct, Victorville, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215563622.

Contact Information

	Elaine Abante Bersaba Vong, DDS
	12821 Main St Ste 150, Hesperia, CA 92345-9130
	(760) 947-9853
	Not Available

Healthcare Provider's Profile

Full Name	Elaine Abante Bersaba Vong
Gender	Female
Speciality	Dentist - General Practice
Location	12821 Main St Ste 150, Hesperia, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1215563622
Provider Enumeration Date: 03/17/2020
Last Update Date: 09/25/2020

Medical Identifiers

Medical identifiers for Elaine Abante Bersaba Vong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215563622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DDS103724 (California)	Secondary
1223G0001X	Dentist - General Practice	DDS103724 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elaine Abante Bersaba Vong is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Elaine Abante Bersaba Vong, DDS 12481 Kokomo Ct, Victorville, CA 92392-6780 Ph: (775) 848-1212	Elaine Abante Bersaba Vong, DDS 12821 Main St Ste 150, Hesperia, CA 92345-9130 Ph: (760) 947-9853

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Dentist in Hesperia, CA

Codrina Alexandra Baston, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15555 Main St, Hesperia, CA 92345 Phone: 760-244-5600
Mrs. Jessicah Lauren Moretz, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12821 Main St Ste 150, Hesperia, CA 92345 Phone: 760-947-9853
Hyun Il Kim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 16922 Main St Ste F, Hesperia, CA 92345 Phone: 760-244-4844
Dr. Steven James Dombrady, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18215 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-948-9885
Mrs. Mojgan Sheikhavandi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11949 Hesperia Rd Ste A, Hesperia, CA 92345 Phone: 760-244-1212 Fax: 760-244-2009
Dr. Kent B Johnson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9176 I Ave, Hesperia, CA 92345 Phone: 760-244-2027 Fax: 760-244-0361
Dr. Andrew Juhwan Lim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 15550 Main St Ste B7, Hesperia, CA 92345 Phone: 760-947-7777 Fax: 760-947-1331

Elaine Abante Bersaba Vong, DDS - Dentist in Hesperia, CA