| Alexander Gerbakher, D.m.d., Corp. | |
|
12135 Magnolia Blvd Valley Village CA 91607-2609 | |
| (626) 390-6874 | |
| Not Available |
| Full Name | Alexander Gerbakher, D.m.d., Corp. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12135 Magnolia Blvd, Valley Village, California |
| Authorized Official Name and Position | Alexander Gerbakher (OWNER) |
| Authorized Official Contact | 6263906775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Gerbakher, D.m.d., Corp. 12135 Magnolia Blvd Valley Village CA 91607-2609 Ph: (626) 390-6874 | Alexander Gerbakher, D.m.d., Corp. 12135 Magnolia Blvd Valley Village CA 91607-2609 Ph: (626) 390-6874 |
| NPI Number | 1225589120 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 11/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225589120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 44175 (California) | Primary |
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