# PACIFIC DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Dental Prosthetics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740898048
- **Authorized official:** HAMID BABAEIAN CDT (OWNER)
- **Authorized official phone:** (818) 203-7000

## Contact information

- **Practice address:** 75 LONG CT, THOUSAND OAKS, CA 91360-6039
- **Practice address phone:** (805) 496-8887
- **Practice address fax:** (805) 494-0677
- **Mailing address:** 75 LONG CT, THOUSAND OAKS, CA 91360-6039
- **Mailing address phone:** (805) 496-8887
- **Mailing address fax:** (805) 494-0677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2020
- **Last updated:** 07/22/2020