Provider Demographics
NPI:1104995794
Name:IRANI, BABAK BOBBY (DDS)
Entity type:Individual
Prefix:MR
First Name:BABAK
Middle Name:BOBBY
Last Name:IRANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24355 LYONS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2333
Mailing Address - Country:US
Mailing Address - Phone:661-799-9989
Mailing Address - Fax:661-799-0717
Practice Address - Street 1:24355 LYONS AVE STE 200
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2333
Practice Address - Country:US
Practice Address - Phone:661-799-9989
Practice Address - Fax:661-799-0717
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA484661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice