| Brookside Dental Associates | |
|
12 N 5th Street Redlands CA 92373 | |
| (909) 798-7111 | |
| (909) 355-5862 |
| Full Name | Brookside Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12 N 5th Street, Redlands, California |
| Authorized Official Name and Position | Andrzej Lubczuk (DENTIST/PRESIDENT) |
| Authorized Official Contact | 9094891174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Dental Associates 12 N 5th Street Redlands CA 92373 Ph: (909) 798-7111 | Brookside Dental Associates 12 N 5th Street Redlands CA 92373 Ph: (909) 798-7111 |
| NPI Number | 1629387147 |
|---|---|
| Provider Enumeration Date | 10/01/2010 |
| Last Update Date | 07/26/2021 |
| Certification Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629387147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42568 (California) | Primary |
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