Individual
BEHROKH BAHRAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N CALIFORNIA BLVD APT 519, WALNUT CREEK, CA 94596-7432
(425) 224-6316
Mailing address
1500 N CALIFORNIA BLVD APT 519, WALNUT CREEK, CA 94596-7432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105382
CA
Other
Enumeration date
08/28/2020
Last updated
09/15/2020
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