Organization
BABAK KHAYATAN DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK KHAYATAN DDS (PRESIDENT)
(925) 778-1234
Entity
Organization
Contact information
Practice address
2734 DELTA FAIR BLVD, ANTIOCH, CA 94509-4100
(925) 778-1234
Mailing address
2734 DELTA FAIR BLVD, ANTIOCH, CA 94509-4100
(925) 778-1234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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