Individual
BAHMAN DERAKHSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
26711 ALISO CREEK RD STE 200B, ALISO VIEJO, CA 92656-4822
(949) 680-4001
Mailing address
26711 ALISO CREEK RD STE 200B, ALISO VIEJO, CA 92656-4822
(949) 680-4001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS110875
CA
122300000X
Dentist
DN10000579
MA
Other
Enumeration date
02/05/2024
Last updated
03/11/2026
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