NPI: 1639174279
Provider Name: A PROFESSIONAL DENTAL CORP.
Former Legal Business Name: A NANCY DRUMOV - DUBUK, DDS
Classification: Dentist - 1223P0300X
Entity Type: Organization
Specialization: Periodontics
Address:
3505 LONE TREE WAY
STE 7
ANTIOCH, CA
ZIP 94509
Phone: (925) 756-7884
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A PROFESSIONAL DENTAL CORP. is a periodontics dentist in Antioch, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. A PROFESSIONAL DENTAL CORP. NPI is 1639174279. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is A Nancy Drumov - Dubuk, Dds.
The provider's business location address is:
3505 LONE TREE WAY
STE 7
ANTIOCH, CA
ZIP 94509-067
Phone: (925) 756-7884
Fax: (925) 756-7894
The provider's authorized official is Kelly Ann Butti .
The authorized official title is Office Manager and has the following contact phone number (925) 756-7884.
The enumeration date for this NPI number is 6/20/2005 and was last updated on 6/13/2008.