Organization
PACIFIC DENTAL INC
Active
Other names
Pacific Dental Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID BABAEIAN CDT (OWNER)
(818) 203-7000
Entity
Organization
Contact information
Practice address
75 LONG CT, THOUSAND OAKS, CA 91360-6039
(805) 496-8887
(805) 494-0677
Mailing address
75 LONG CT, THOUSAND OAKS, CA 91360-6039
(805) 496-8887
(805) 494-0677
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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