Individual
DR. BRANDON BAKHSHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2459 ARAMINGO AVE, PHILADELPHIA, PA 19125-3731
(215) 427-2800
Mailing address
25 DREXEL HILL DR, KENDALL PARK, NJ 08824-1827
(702) 417-0059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
000000000000
PA
1223G0001X
General Practice Dentistry
Primary
DS044889
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2024
Last updated
10/09/2024
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