Individual
DR. ALEXANDER RABINOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
9655 PINEHURST DR, ROSEVILLE, CA 95747-6336
(646) 456-1146
Mailing address
9655 PINEHURST DR, ROSEVILLE, CA 95747-6336
(646) 456-1146
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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