Provider Demographics
NPI:1437549417
Name:DUBLIN FAMILY DENTAL
Entity Type:Organization
Organization Name:DUBLIN FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGASCA-IGNACIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-833-0500
Mailing Address - Street 1:8265 VILLAGE PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-1254
Mailing Address - Country:US
Mailing Address - Phone:925-833-0500
Mailing Address - Fax:
Practice Address - Street 1:8265 VILLAGE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-1254
Practice Address - Country:US
Practice Address - Phone:925-833-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty