| Babak Khayatan Dds Inc. | |
|
2734 Delta Fair Blvd Antioch CA 94509-4100 | |
| (925) 778-1234 | |
| Not Available |
| Full Name | Babak Khayatan Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2734 Delta Fair Blvd, Antioch, California |
| Authorized Official Name and Position | Babak Khayatan (PRESIDENT) |
| Authorized Official Contact | 9257781234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Babak Khayatan Dds Inc. 2734 Delta Fair Blvd Antioch CA 94509-4100 Ph: (925) 778-1234 | Babak Khayatan Dds Inc. 2734 Delta Fair Blvd Antioch CA 94509-4100 Ph: (925) 778-1234 |
| NPI Number | 1639648413 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 11/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639648413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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