| Dr Siamak Bayat DDS a Dental Corp | |
|
1523 W Avenue J Ste 9 Lancaster CA 93534-2819 | |
| (661) 729-2662 | |
| Not Available |
| Full Name | Dr Siamak Bayat DDS a Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 1523 W Avenue J Ste 9, Lancaster, California |
| Authorized Official Name and Position | Siamak Bayat-mokhtari (DENTAL SURGEON) |
| Authorized Official Contact | 8185169941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Siamak Bayat DDS a Dental Corp 24144 Newhall Ranch Rd Apt 1202 Valencia CA 91355-5180 Ph: (818) 516-9941 | Dr Siamak Bayat DDS a Dental Corp 1523 W Avenue J Ste 9 Lancaster CA 93534-2819 Ph: (661) 729-2662 |
| NPI Number | 1962148015 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/30/2023 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962148015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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