ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP NPI 1962018887

NPI Information

ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP is a general practice dentist in Riverside, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ADRIAN ACOSTA DDS A PROFESSIONAL DENTAL CORP NPI is 1962018887. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4595 LA SIERRA AVE
RIVERSIDE, CA
ZIP 92505-900
Phone: (951) 688-6000
Fax: (951) 688-6088

The provider's authorized official is Alan Boval .
The authorized official title is Chief Executive Officer and has the following contact phone number (562) 356-0948.

The enumeration date for this NPI number is 9/16/2020 and was last updated on 9/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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