Individual
DR. BAKTASH AMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9610
Mailing address
10168 INDIANA AVE, RIVERSIDE, CA 92503-5302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101350
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/31/2016
Last updated
02/26/2018
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