Provider Demographics
NPI:1144687773
Name:CB DENTAL PLLC
Entity type:Organization
Organization Name:CB DENTAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BABAK
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHBAHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:602-741-2355
Mailing Address - Street 1:6232 N 7TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-1852
Mailing Address - Country:US
Mailing Address - Phone:602-246-0385
Mailing Address - Fax:602-393-1023
Practice Address - Street 1:6232 N 7TH ST STE 201
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-1852
Practice Address - Country:US
Practice Address - Phone:602-246-0385
Practice Address - Fax:602-393-1023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD008263122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty