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1580 Howe Ave Suite A Sacramento CA 95825-3358 | |
| (916) 929-7667 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1580 Howe Ave, Sacramento, California |
| Authorized Official Name and Position | Alexander Rabinovich (PRESIDENT) |
| Authorized Official Contact | 6464561146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3504 Bering Dr San Bruno CA 94066-4575 Ph: (646) 456-1146 | 1580 Howe Ave Suite A Sacramento CA 95825-3358 Ph: (916) 929-7667 |
| NPI Number | 1447570924 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 06/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447570924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 48850 (California) | Primary |
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