Individual
DR. ALEXANDER ILLYCH GERBAKHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12135 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2609
(818) 761-0001
(866) 365-9764
Mailing address
12135 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2609
(818) 761-0001
(866) 365-9764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44175
CA
Other
Enumeration date
08/05/2009
Last updated
03/20/2012
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