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Individual
DR. ALEXANDER RABINOVICH
Active
Individual
DR. ALEXANDER RABINOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
48850
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A102021
CA
207YS0123X
Facial Plastic Surgery Physician
A102021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246279
MEDICAL LICENSE
NY
01
—
48850
DENTAL LICENSE
CA
01
—
A102021
MEDICAL LICENSE
CA
Enumeration date
10/03/2007
Last updated
08/27/2008
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