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VIACHESLAV S. ZOUBTSOVD.D.S.A PROFESSIONAL DENTAL CORPORATION NPI 1295047066


NPI Information

NPI: 1295047066
Provider Name: VIACHESLAV S. ZOUBTSOV,D.D.S.,A PROFESSIONAL DENTAL CORPORATION

Doing Business As: PRIME DENTAL OFFICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1049 W PHILADELPHIA ST
ONTARIO, CA
ZIP 91762
Phone: (909) 391-2324
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VIACHESLAV S. ZOUBTSOV,D.D.S.,A PROFESSIONAL DENTAL CORPORATION is a general practice dentist in Ontario, 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. VIACHESLAV S. ZOUBTSOV,D.D.S.,A PROFESSIONAL DENTAL CORPORATION NPI is 1295047066. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prime Dental Office.

The provider's business location address is:

1049 W PHILADELPHIA ST
ONTARIO, CA
ZIP 91762-145
Phone: (909) 391-2324

The provider's authorized official is Viacheslav Zoubtsov .
The authorized official title is President and has the following contact phone number (626) 201-6278.

The enumeration date for this NPI number is 7/9/2010 and was last updated on 7/9/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice48574CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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