Provider Demographics
NPI:1497278725
Name:BEHJAT, JOSEPH BABAK (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:BABAK
Last Name:BEHJAT
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 1:1530 HIGHPOINT ST
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91784-8613
Mailing Address - Country:US
Mailing Address - Phone:909-519-2983
Mailing Address - Fax:
Practice Address - Street 1:593 N MOORPARK RD STE B
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-3732
Practice Address - Country:US
Practice Address - Phone:805-494-5255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101581122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist