Oksana Bublik Dds,a Dental Corporation | |
26893 Calle Hermosa Dana Point CA 92624-1635 | |
(949) 503-3430 | |
(949) 503-3431 |
Full Name | Oksana Bublik Dds,a Dental Corporation |
---|---|
Speciality | Clinic/center - Dental |
Location | 26893 Calle Hermosa, Dana Point, California |
Authorized Official Name and Position | Oksana V Bublik (PRESIDENT) |
Authorized Official Contact | 9495033430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oksana Bublik Dds,a Dental Corporation 26893 Calle Hermosa Ste 2 Dana Point CA 92624-1635 Ph: (949) 503-3430 | Oksana Bublik Dds,a Dental Corporation 26893 Calle Hermosa Dana Point CA 92624-1635 Ph: (949) 503-3430 |
NPI Number | 1891193140 |
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Provider Enumeration Date | 12/18/2014 |
Last Update Date | 09/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891193140 | NPI | - | NPPES |
1639131865 | Other | CA | NPI TYPE1 |
1891193140 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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