Individual
DR. BABAK ABRISHAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 E CARSON AVE FL 10, LAS VEGAS, NV 89101-5905
(310) 435-5537
Mailing address
11743 KIOWA AVE APT 202, LOS ANGELES, CA 90049-6135
(310) 435-5537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D43515
DENTICAL PROVIDER NUMBER
CA
Enumeration date
01/30/2007
Last updated
05/31/2024
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