Provider Demographics
NPI:1366313579
Name:BABAIAN D.M.D. INC
Entity type:Organization
Organization Name:BABAIAN D.M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARO
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:248-470-2835
Mailing Address - Street 1:20353 WYNFREED LN
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-4052
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12137 MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2609
Practice Address - Country:US
Practice Address - Phone:818-308-6024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental