Individual
DR. BABAK HEIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.P.H,
Contact information
Practice address
980 N TUSTIN ST, ORANGE, CA 92867-5903
(714) 997-1005
(714) 997-1055
Mailing address
980 N TUSTIN ST, ORANGE, CA 92867-5903
(714) 997-1005
(714) 997-1055
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
54600
CA
Other
Enumeration date
12/29/2006
Last updated
05/14/2011
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