Provider Demographics
NPI:1326151614
Name:BABIKIAN, HAGOP JACOB (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAGOP
Middle Name:JACOB
Last Name:BABIKIAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:SABAH
Other - Middle Name:AZAD
Other - Last Name:SETRAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:10980 WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3853
Mailing Address - Country:US
Mailing Address - Phone:714-964-0433
Mailing Address - Fax:714-965-5354
Practice Address - Street 1:10980 WARNER AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3853
Practice Address - Country:US
Practice Address - Phone:714-964-0433
Practice Address - Fax:714-965-5354
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA355491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB3554901OtherDENTICAL