Individual
BABAK ROBERT MEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
131 ELDEN ST STE 100, HERNDON, VA 20170-4835
(703) 657-0000
(703) 657-0958
Mailing address
131 ELDEN ST STE 100, HERNDON, VA 20170-4835
(703) 657-0000
(703) 657-0958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412049
VA
1223G0001X
General Practice Dentistry
MD 13086
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054635
JHHC
—
05
—
288504201
—
MD
01
—
521860379
METLIFE
—
01
—
9179244
DORAL
—
01
—
DG26TH 521860379-110
CAREFIRST
—
Enumeration date
04/11/2006
Last updated
02/22/2016
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