Individual provider · Type 1 NPI
Keith L. Radack, DR.
Oral and Maxillofacial Surgery (Dentist) · Burbank, CA
NPI number
1609915412
Active
Practice location
2625 W Alameda Ave, Suite 200
Burbank, CA 91505
Fax (818) 845-3359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D23024 (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 1609915412
Keith L. Radack, DR.'s National Provider Identifier is 1609915412, issued on Feb 6, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Burbank, CA. The record was last updated on Oct 25, 2013.