ALLAN RADISLAV ABAYEV
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1992649479- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11234 ANDERSON STREET GME OFFICE UA-202, LOMA LINDA, CA, 923501716
- Phone
- (909) 558-4671
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: CA #390200000X