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Individual
BABAK PEZESHK
Active
Individual
BABAK PEZESHK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
47547
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
47547
CA
Other
Enumeration date
12/03/2007
Last updated
03/29/2019
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