Individual provider · Type 1 NPI

Ksenia Bubukina

General Practice Dentistry · Huntington Beach, CA

NPI number 1316600430 Active · reactivated Nov 8, 2023

Practice location

16071 Goldenwest St
Huntington Beach, CA 92647-3405

Mailing address

714 Tiverton Ave
Los Angeles, CA 90095-8361

Other practice locations

  • 3290 Sawtelle Blvd Apt 203, Los Angeles, CA 90066-1659 · (415) 624-9906

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X108837 (CA)

General Practice Dentistry: 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.

4 other providers at this address

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About NPI 1316600430

Ksenia Bubukina's National Provider Identifier is 1316600430, issued on Oct 15, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Huntington Beach, CA. The record was last updated on Nov 20, 2023.