Provider Demographics
NPI:1326050808
Name:BABA, STEVEN W (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:BABA
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 1:38 LINDCOVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0945
Mailing Address - Country:US
Mailing Address - Phone:714-235-5111
Mailing Address - Fax:
Practice Address - Street 1:1140 W LA VETA AVE STE 530
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4227
Practice Address - Country:US
Practice Address - Phone:714-953-1000
Practice Address - Fax:714-953-9957
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA392291223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics