Individual
DR. BABAK DJIFROUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
195 BLUE RAVINE RD STE 200, FOLSOM, CA 95630-4723
(916) 404-3200
(916) 404-3210
Mailing address
195 BLUE RAVINE RD STE 200, FOLSOM, CA 95630-4723
(916) 404-3200
(916) 404-3210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43691
CA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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