Organization
BABAK ETEMAD DMD INC
Active
Other names
casa dental of Santa Ana
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK ROBERT ETEMAD DDS (OWNER)
(714) 541-0837
Entity
Organization
Contact information
Practice address
1334 W 1ST ST, SANTA ANA, CA 92703-3723
(714) 541-0837
Mailing address
1334 W 1ST ST, SANTA ANA, CA 92703-3723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59028
CA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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