Provider Demographics
NPI:1841312592
Name:DUMITRESCU, ADRIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:
Last Name:DUMITRESCU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 RIO DELL AVE
Mailing Address - Street 2:
Mailing Address - City:RIO DELL
Mailing Address - State:CA
Mailing Address - Zip Code:95562
Mailing Address - Country:US
Mailing Address - Phone:707-764-3653
Mailing Address - Fax:909-883-8413
Practice Address - Street 1:920 RIO DELL AVE
Practice Address - Street 2:
Practice Address - City:RIO DELL
Practice Address - State:CA
Practice Address - Zip Code:95562
Practice Address - Country:US
Practice Address - Phone:707-764-3653
Practice Address - Fax:909-883-8413
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA484511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice