Healthcare Provider Details

I. General information

NPI: 1154203446
Provider Name (Legal Business Name): MELINDA BABAIAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E PALMER AVE
GLENDALE CA
91205-3532
US

IV. Provider business mailing address

1935 ALPHA RD UNIT 118
GLENDALE CA
91208-2162
US

V. Phone/Fax

Practice location:
  • Phone: 818-244-5052
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN30450
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: