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DR. THOMAS LEE BABA DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1417226150

Individual Registrant:
DR. THOMAS LEE BABA DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
352 3RD ST SUITE 201 LAGUNA BEACH, CA 92651-2357 US
Tel: 949-376-2236  Fax: 760-723-1480

Contact information for business:
352 3RD ST SUITE 201 LAGUNA BEACH, CA 92651-2357 US
Tel: 949-376-2236  Fax: 760-723-1480

Registration Information:
NPI: 1417226150
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CADV033237

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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