GENNADY TABACHNIK

LOS ANGELES, CA
NPI1689924276
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  61179)
Enumeration Date2012-09-11
Last Update Date2014-05-29
Business Address
-- GENNADY TABACHNIK
1320 N SYCAMORE AVE APT 309
LOS ANGELES, CA 90028-7552
Phone number: 323-401-8685
Mailing Address
-- GENNADY TABACHNIK
1320 N SYCAMORE AVE APT 309
LOS ANGELES, CA 90028-7552
Phone number: 323-401-8685
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