Provider Demographics
NPI:1326203571
Name:MOBILIA, ADRIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:
Last Name:MOBILIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10064 ARROW RTE
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4194
Mailing Address - Country:US
Mailing Address - Phone:909-987-5522
Mailing Address - Fax:
Practice Address - Street 1:10064 ARROW RTE
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4194
Practice Address - Country:US
Practice Address - Phone:909-987-5522
Practice Address - Fax:909-987-5532
Is Sole Proprietor?:No
Enumeration Date:2008-07-26
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA572131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice