Provider Demographics
NPI:1053085282
Name:BAIG FAMILY DENTAL GROUP
Entity Type:Organization
Organization Name:BAIG FAMILY DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-763-9693
Mailing Address - Street 1:2080 CENTURY PARK E STE 1103
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2014
Mailing Address - Country:US
Mailing Address - Phone:310-553-2233
Mailing Address - Fax:
Practice Address - Street 1:2080 CENTURY PARK E STE 1103
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2014
Practice Address - Country:US
Practice Address - Phone:310-553-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty