Organization
BABAN DHARIWAL DDS PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAN DHARIWAL DDS (PRESIDENT)
(916) 298-7345
Entity
Organization
Contact information
Practice address
5280 DOUGLAS BLVD STE 100, GRANITE BAY, CA 95746-6205
(916) 800-5001
(916) 791-1659
Mailing address
6049 DOUGLAS BLVD STE 9, ROSEVILLE, CA 95746-6249
(916) 791-4133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
07/12/2016
Last updated
09/05/2023
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