Individual
BABAK KHAYATAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2734 DELTA FAIR BLVD, ANTIOCH, CA 94509-4100
(925) 778-1234
(925) 778-3012
Mailing address
2734 DELTA FAIR BLVD, ANTIOCH, CA 94509-4100
(925) 778-1234
(925) 778-3012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53811
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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