| NPI | 1629387147 |
|---|---|
| Doing Business As | BROOKSIDE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ANDRZEJ LUBCZUK Dentist/President 909-489-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42568) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2021-07-26 |