| Babak Yousefi Dental Corporation | |
|
4134 Woodruff Ave Lakewood CA 90713-3141 | |
| (562) 420-4400 | |
| (562) 420-1114 |
| Full Name | Babak Yousefi Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4134 Woodruff Ave, Lakewood, California |
| Authorized Official Name and Position | Babak Yousefi (PRESIDENT) |
| Authorized Official Contact | 5624204400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Babak Yousefi Dental Corporation 12265 La Mirada Blvd La Mirada CA 90638-1329 Ph: (562) 944-8408 | Babak Yousefi Dental Corporation 4134 Woodruff Ave Lakewood CA 90713-3141 Ph: (562) 420-4400 |
| NPI Number | 1225575566 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225575566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 49464 (California) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 49464 (California) | Primary |
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