# PAUL LUCZYNSKI DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710242342
- **Authorized official:** DR. PAUL LUCZYNSKI D.D.S. (OWNER DENTIST)
- **Authorized official phone:** (619) 794-4965

## Contact information

- **Practice address:** 5755 OBERLIN DR, SUITE 301, SAN DIEGO, CA 92121-1786
- **Practice address phone:** (888) 350-9725
- **Mailing address:** 5755 OBERLIN DR, SUITE 301, SAN DIEGO, CA 92121-1786
- **Mailing address phone:** (888) 350-9725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 59349 | CA | — |
| 311ZA0620X | Adult Care Home Facility | 59349 | CA | — |
| 314000000X | Skilled Nursing Facility | 59349 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 08/27/2012