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Organization

EDWARD RABINOVICH, DDS, INC.

Active
Other names
Edward Rabinovich DDS
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD RABINOVICH (PRESIDENT)
(619) 660-9800
Entity
Organization

Contact information

Practice address
3855 AVOCADO BLVD., STE. 250, LA MESA, CA 91941
(619) 660-9800
(619) 660-8628
Mailing address
3855 AVOCADO BLVD STE 250, LA MESA, CA 91941-7382
(619) 660-9800
(619) 660-8628

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40712
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154464139
NPPES
CA
Enumeration date
06/08/2017
Last updated
07/21/2022
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