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Organization
LUBCZUK DENTAL CORPORATION
Active
Organization
LUBCZUK DENTAL CORPORATION
Active
Other names
BROOKSIDE DENTAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRZEJ LUBCZUK DDS (DENTIST/PRESIDENT)
(909) 489-1174
Entity
Organization
Contact information
Practice address
12 N 5TH STREET, REDLANDS, CA 92373
(909) 798-7111
(909) 355-5862
Mailing address
12 N 5TH STREET, REDLANDS, CA 92373
(909) 798-7111
(909) 355-5862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42568
CA
Other
Enumeration date
10/01/2010
Last updated
07/26/2021
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