Individual
ALLAN RADISLAV ABAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON STREET GME OFFICE UA-202, LOMA LINDA, CA 92350-1716
(909) 558-4671
Mailing address
11234 ANDERSON STREET GME OFFICE UA-202, LOMA LINDA, CA 92350-1716
(909) 558-4671
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
390200000X
CA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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