Individual provider · NPI-1

Allan Radislav Abayev

Dentist, Oral and Maxillofacial Surgery · Loma Linda, CA

NPI number1992649479
StatusActive
Last updated in NPPESApr 16, 2026

Details

NPI
1992649479
Entity type
Individual (NPI-1)
Name
Allan Radislav Abayev
Sex
Male
Sole proprietor
No
Enumeration date
Apr 16, 2026
Certification date
Apr 15, 2026
Last updated
Apr 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial Surgery390200000XCAYes

Practice location

11234 Anderson Street Gme Office Ua-202
Loma Linda, CA 92350-1716

Phone 909-558-4671

Mailing address

11234 Anderson Street Gme Office Ua-202
Loma Linda, CA 92350-1716

Phone 909-558-4671

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