# BABAK MANESH DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548657984
- **Authorized official:** DR. BABAK MANESH D.D.S (OWNER/ PRESIDENT)
- **Authorized official phone:** (818) 784-5234

## Contact information

- **Practice address:** 16661 VENTURA BLVD STE 306, ENCINO, CA 91436-1951
- **Practice address phone:** (818) 784-5234
- **Practice address fax:** (818) 784-9230
- **Mailing address:** 16661 VENTURA BLVD STE 306, ENCINO, CA 91436-1951
- **Mailing address phone:** (818) 784-5234
- **Mailing address fax:** (818) 784-9230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2015
- **Last updated:** 04/23/2015