Individual provider · Type 1 NPI

Gennady M. Fundaminsky, D.D.S

Oral and Maxillofacial Surgery (Dentist) · Beverly Hills, CA

NPI number 1295956357 Active

Practice location

9615 Brighton Way, 216
Beverly Hills, CA 90210

Call (310) 278-0814 Map

Fax (310) 278-3487

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X26062 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1295956357

Gennady M. Fundaminsky, D.D.S's National Provider Identifier is 1295956357, issued on May 2, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Beverly Hills, CA. The record was last updated on Jan 28, 2023.