Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GENNADY TABACHNIK
Active Sole ProprietorGENNADY TABACHNIK is a General Dentistry healthcare provider located in LOS ANGELES, California. NPI 1689924276 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LOS ANGELES, CA
Registration Details
- NPI Number
- 1689924276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2012 (13.741877179408 yrs)
- Last Updated
- May 29, 2014
- License
-
61179 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1320 N SYCAMORE AVE APT 309LOS ANGELES, CA, 900287552Browse CA providers · Browse ZIP 90028
- Phone
- 3234018685
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MARCELO GENESTON MONCADA | DDS | 1215935564 |
| DR. DANIEL HIDEO TAMURA | DDS | 1689673733 |
| DR. RANDALL ARTHUR GORDON | D.M.D. | 1912907551 |
| DR. KATHY LYNN BASMAJIAN | DDS | 1912992850 |
| DR. LEONOR CAPISTRANO ESLAO | DMD | 1336137520 |
| DR. OMID VATAN | D.D.S. | 1740278662 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.