Provider Demographics
NPI:1730297888
Name:GAMARNIK, RUDOLPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUDOLPH
Middle Name:
Last Name:GAMARNIK
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 1:9717 PIAZZA CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3591
Mailing Address - Country:US
Mailing Address - Phone:562-619-9731
Mailing Address - Fax:714-527-5899
Practice Address - Street 1:9717 PIAZZA CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3591
Practice Address - Country:US
Practice Address - Phone:562-619-9731
Practice Address - Fax:714-527-5899
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA441741223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics