Provider Demographics
NPI:1255512174
Name:DRABKIN, VICTOR (DDS)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:DRABKIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:VICTOR
Other - Middle Name:
Other - Last Name:DRABKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:GENERAL DENTIST
Mailing Address - Street 1:536 ESTUDILLO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-4612
Mailing Address - Country:US
Mailing Address - Phone:510-483-2244
Mailing Address - Fax:510-483-0825
Practice Address - Street 1:536 ESTUDILLO AVE
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4612
Practice Address - Country:US
Practice Address - Phone:510-483-2244
Practice Address - Fax:510-483-0825
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice