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Organization
BAKHSHALIAN DENTAL CORPORATION
Active
Organization
BAKHSHALIAN DENTAL CORPORATION
Active
Other names
BAK Implant Studio
Organization subpart
No
Provider details
NPI number
Authorized official
NEEMA BAK DDS, MS, PHD (PRESIDENT)
(213) 362-8076
Entity
Organization
Contact information
Practice address
18740 VENTURA BLVD STE 103, TARZANA, CA 91356-6301
(818) 705-3232
Mailing address
18740 VENTURA BLVD STE 103, TARZANA, CA 91356-6301
(818) 705-3232
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
10/18/2022
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