Individual
DR. ALEXANDER KLIMUSHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1390 WINDEMERE CT, WEST SACRAMENTO, CA 95605-1900
(916) 709-3495
Mailing address
1390 WINDEMERE CT, WEST SACRAMENTO, CA 95605-1900
(916) 709-3495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D55361
—
CA
Enumeration date
02/03/2007
Last updated
01/22/2013
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