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Individual

DR. BABAK SHEMIRANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3705 BEACON AVE STE 100, FREMONT, CA 94538-1467
(510) 793-9025
(510) 793-7704
Mailing address
3705 BEACON AVE STE 100, FREMONT, CA 94538-1467
(510) 793-9025
(510) 793-7704

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
47561
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D47561
CA
Enumeration date
01/30/2007
Last updated
04/09/2020
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