Provider Demographics
NPI:1053337451
Name:BEHI, FARANAK (DDS)
Entity type:Individual
Prefix:DR
First Name:FARANAK
Middle Name:
Last Name:BEHI
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 1:2010 N TUSTIN ST
Mailing Address - Street 2:SUITE # A
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-3900
Mailing Address - Country:US
Mailing Address - Phone:714-282-0430
Mailing Address - Fax:714-282-0243
Practice Address - Street 1:2010 N TUSTIN ST
Practice Address - Street 2:SUITE # A
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-3900
Practice Address - Country:US
Practice Address - Phone:714-282-0430
Practice Address - Fax:714-282-0243
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA370501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB37050-01OtherDENTI-CAL