Individual
DR. BABAK BOB BAKSHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2020 W WHITTIER BLVD, MONTEBELLO, CA 90640-4011
(323) 720-1717
(323) 720-9767
Mailing address
2020 W WHITTIER BLVD, MONTEBELLO, CA 90640-4011
(323) 720-1717
(323) 720-9767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B35070-01
—
CA
05
—
G89986-01
—
CA
Enumeration date
01/22/2007
Last updated
03/26/2025
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