| Lubczuk Professional Dental Corporation | |
|
9193 Sierra Ave Ste D Fontana CA 92335-4776 | |
| (909) 822-2226 | |
| (909) 822-2384 |
| Full Name | Lubczuk Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9193 Sierra Ave Ste D, Fontana, California |
| Authorized Official Name and Position | Andrzej Lubczuk (PRESIDENT) |
| Authorized Official Contact | 9098222226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lubczuk Professional Dental Corporation 9193 Sierra Ave Ste D Fontana CA 92335-4776 Ph: (909) 822-2226 | Lubczuk Professional Dental Corporation 9193 Sierra Ave Ste D Fontana CA 92335-4776 Ph: (909) 822-2226 |
| NPI Number | 1205051000 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 05/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205051000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42568 (California) | Primary |
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