| NPI | 1063728293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER RABINOVICH President 415-935-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery (Licence: CA 48850) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |