Individual
DR. ELHAM BARANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 BODIN CIR, 60 MDG/SGDD, TRAVIS AFB, CA 94535-1809
(707) 423-7008
Mailing address
101 BODIN CIR, 60 MDG/SGDD, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20783
TX
390200000X
Student in an Organized Health Care Education/Training Program
20783
TX
Other
Enumeration date
12/23/2005
Last updated
08/27/2013
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