Individual
BABAK SHABESTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2000 STANDIFORD AVE, SUITE A, MODESTO, CA 95350
(209) 574-9600
(209) 574-9630
Mailing address
2000 STANDIFORD AVE, SUITE A, MODESTO, CA 95350
(209) 574-9600
(209) 574-9630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61167
CA
Other
Enumeration date
02/28/2012
Last updated
05/28/2014
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