Provider Demographics
NPI:1184874984
Name:BAKHSHI, BEHNAZ (DDS)
Entity type:Individual
Prefix:
First Name:BEHNAZ
Middle Name:
Last Name:BAKHSHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 WELCH RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1801
Mailing Address - Country:US
Mailing Address - Phone:650-617-1900
Mailing Address - Fax:650-617-1907
Practice Address - Street 1:900 WELCH RD STE 100
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1801
Practice Address - Country:US
Practice Address - Phone:650-617-1900
Practice Address - Fax:650-617-1907
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA552221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice