Provider Demographics
NPI:1245439272
Name:MCGREGOR, ADRIANA (DDS)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:MCGREGOR
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 1:1240 WESTLAKE BLVD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1929
Mailing Address - Country:US
Mailing Address - Phone:805-230-2440
Mailing Address - Fax:805-230-2442
Practice Address - Street 1:1240 WESTLAKE BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-1929
Practice Address - Country:US
Practice Address - Phone:805-230-2440
Practice Address - Fax:805-230-2442
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA383301223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics