Organization
ALEXANDER GERBAKHER, D.M.D., CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER GERBAKHER D.D.S (OWNER)
(626) 390-6775
Entity
Organization
Contact information
Practice address
12135 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2609
(626) 390-6874
Mailing address
12135 MAGNOLIA BLVD, VALLEY VILLAGE, CA 91607-2609
(626) 390-6874
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
44175
CA
Other
Enumeration date
10/17/2016
Last updated
11/12/2016
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