| NPI | 1225589120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER GERBAKHER Owner 626-390-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 44175) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-11-12 |