Individual
DR. BABAK SHAHROKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1257 ARMORLITE DR APT 308, SAN MARCOS, CA 92069-1375
(760) 471-9560
(303) 343-3139
Mailing address
14251 E 6TH AVE, AURORA, CO 80011-8706
(303) 343-3133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60906774
—
CO
Enumeration date
08/06/2010
Last updated
05/25/2023
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