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Organization
LUBCZUK PROFESSIONAL DENTAL CORPORATION
Active
Organization
LUBCZUK PROFESSIONAL DENTAL CORPORATION
Active
Other names
Fontana Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRZEJ LUBCZUK D.D.S. (PRESIDENT)
(909) 822-2226
Entity
Organization
Contact information
Practice address
9193 SIERRA AVE STE D, FONTANA, CA 92335-4776
(909) 822-2226
(909) 822-2384
Mailing address
9193 SIERRA AVE STE D, FONTANA, CA 92335-4776
(909) 822-2226
(909) 822-2384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42568
CA
Other
Enumeration date
04/16/2007
Last updated
05/28/2019
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