Provider Demographics
NPI:1851419808
Name:GABBAY, ALAIN GERARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:GERARD
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 1:6400 VAN NUYS BLVD
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1436
Mailing Address - Country:US
Mailing Address - Phone:818-988-5722
Mailing Address - Fax:818-988-6252
Practice Address - Street 1:6400 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1436
Practice Address - Country:US
Practice Address - Phone:818-988-5722
Practice Address - Fax:818-988-6252
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA302641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice