# DR SIAMAK BAYAT DDS A DENTAL CORP

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

## Provider details

- **NPI number:** 1962148015
- **Authorized official:** SIAMAK BAYAT-MOKHTARI (DENTAL SURGEON)
- **Authorized official phone:** (818) 516-9941

## Contact information

- **Practice address:** 1523 W AVENUE J STE 9, LANCASTER, CA 93534-2819
- **Practice address phone:** (661) 729-2662
- **Mailing address:** 24144 NEWHALL RANCH RD APT 1202, VALENCIA, CA 91355-5180
- **Mailing address phone:** (818) 516-9941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 05/30/2023