Provider Demographics
NPI:1669223814
Name:IMANKHAN ABADI DENTAL PARTNERS
Entity type:Organization
Organization Name:IMANKHAN ABADI DENTAL PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEHZAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABADI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:310-367-2643
Mailing Address - Street 1:1523 W AVENUE J STE 9
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2819
Mailing Address - Country:US
Mailing Address - Phone:661-729-2662
Mailing Address - Fax:
Practice Address - Street 1:1523 W AVENUE J STE 9
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2819
Practice Address - Country:US
Practice Address - Phone:661-729-2662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental