Individual
MISS MARIA BABAKHANOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
44558 10TH ST W, LANCASTER, CA 93534-3333
(661) 723-1111
Mailing address
44558 10TH ST W, LANCASTER, CA 93534-3333
(661) 723-1111
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
71075
CA
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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