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Ksenia Bubukina
General Practice Dentistry in Huntington Beach, California
NPI 1316600430

Ksenia Bubukina is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Ksenia Bubukina practices in Huntington Beach, CA. The NPI Number for Ksenia Bubukina is 1316600430 and holds a License No. (California).

The current practice location address for Ksenia Bubukina is 16071 Goldenwest St, Huntington Beach, CA and can be reached out via phone at 714-536-2383.

Location: 16071 Goldenwest St, Huntington Beach, CA, 90095-8361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316600430
Provider Name
Ksenia Bubukina
Credential
Provider Entity Type
Individual
Gender
Female
Address
16071 Goldenwest St, Huntington Beach, CA, 90095-8361
Phone Number
714-536-2383
Fax Number
Provider Enumeration Date
10/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XDP801667280 01 UC SHIP
institution
Provider Business Practice Location Address Details
Address
16071 Goldenwest St
City
Huntington Beach
State
California
Zip
92647-3405
Phone Number
714-536-2383
Fax Number
person
Provider Business Mailing Address Details
Address
16071 Goldenwest St
City
Huntington Beach
State
California
Zip
92647-3405
Phone Number
714-536-2383
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
108837 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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