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Organization

DR SIAMAK BAYAT DDS A DENTAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIAMAK BAYAT-MOKHTARI (DENTAL SURGEON)
(818) 516-9941
Entity
Organization

Contact information

Practice address
1523 W AVENUE J STE 9, LANCASTER, CA 93534-2819
(661) 729-2662
Mailing address
24144 NEWHALL RANCH RD APT 1202, VALENCIA, CA 91355-5180
(818) 516-9941

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
05/11/2022
Last updated
05/30/2023
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