Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maverick Bani, DDS, Inc

Organization Dental Clinic/Center · NPI 1124853072

Maverick Bani, DDS, Inc is a Dental Clinic/Center in Pasadena, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

709 N Lake Ave
Pasadena, CA 91104-4558
Phone: (626) 797-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1124853072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maverick Bani — President · (310) 993-0417
NPI enumeratedSeptember 2, 2024
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 2, 2024
Mailing address620 N Arden Dr, Beverly Hills, CA 90210-3510

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