Provider Demographics
NPI:1639131865
Name:BUBLIK, OKSANA V (DDS)
Entity Type:Individual
Prefix:MRS
First Name:OKSANA
Middle Name:V
Last Name:BUBLIK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26893 CALLE HERMOSA
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92624-1635
Mailing Address - Country:US
Mailing Address - Phone:949-503-3430
Mailing Address - Fax:949-503-3431
Practice Address - Street 1:26893 CALLE HERMOSA
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92624-1635
Practice Address - Country:US
Practice Address - Phone:949-503-3430
Practice Address - Fax:949-503-3431
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA434251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice