Organization
BABAK BEHMANESH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK BEHMANESH DDS (OWNER)
(718) 418-5555
Entity
Organization
Contact information
Practice address
63-54 FRESH POND RD, RIDGEWOOD, NY 11385
(718) 418-5555
(718) 418-4817
Mailing address
63-54 FRESH POND RD, RIDGEWOOD, NY 11385
(718) 418-5555
(718) 418-4817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02701733
—
NY
Enumeration date
03/02/2006
Last updated
08/22/2020
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