Provider Demographics
NPI:1114682887
Name:GABBAY, JULIAN ELIAHU (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:ELIAHU
Last Name:GABBAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9704 ROYCE CT
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-1112
Mailing Address - Country:US
Mailing Address - Phone:310-858-8642
Mailing Address - Fax:
Practice Address - Street 1:9704 ROYCE CT
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-1112
Practice Address - Country:US
Practice Address - Phone:310-858-8642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-07
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS107096122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty