Organization
BAKHSHALIAN DENTAL CORPORATION
Active
Other names
BAK Implant Studio
Organization subpart
No
Provider details
NPI number
Authorized official
NEEMA BAK DDS, MS, PHD (PRESIDENT)
(213) 362-8076
Entity
Organization
Contact information
Practice address
18740 VENTURA BLVD STE 103, TARZANA, CA 91356-6301
(818) 705-3232
Mailing address
18740 VENTURA BLVD STE 103, TARZANA, CA 91356-6301
(818) 705-3232
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
10/18/2022
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