| Babrood Dental Corporation | |
|
12520 Magnolia Blvd Ste 205 Valley Village CA 91607-2346 | |
| (818) 766-7776 | |
| (818) 760-3414 |
| Full Name | Babrood Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12520 Magnolia Blvd Ste 205, Valley Village, California |
| Authorized Official Name and Position | Maryet Nikkie Babrood (PRESIDENT / DENTIST) |
| Authorized Official Contact | 8187667776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Babrood Dental Corporation 12520 Magnolia Blvd Ste 205 Valley Village CA 91607-2346 Ph: (818) 766-7776 | Babrood Dental Corporation 12520 Magnolia Blvd Ste 205 Valley Village CA 91607-2346 Ph: (818) 766-7776 |
| NPI Number | 1063060895 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 08/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063060895 | NPI | - | NPPES |
| 102559 | Other | CA | DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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