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Organization
BAK DENTAL GROUP INC
Active
Organization
BAK DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEEMA BAK (PRESIDENT)
(213) 362-8076
Entity
Organization
Contact information
Practice address
18740 VENTURA BLVD STE 305B, TARZANA, CA 91356-3366
(818) 705-3232
Mailing address
18740 VENTURA BLVD STE 305B, TARZANA, CA 91356-3366
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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