Individual
MR. GABRIEL SETH PAVELSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
3380 LA SIERRA AVE STE 108, RIVERSIDE, CA 92503-5225
(951) 354-9999
Mailing address
365 BLACKPINE DR, CORONA, CA 92879-1008
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
75172
CA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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