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Individual

DR. BABAK BADRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
13094
TN
1223G0001X
General Practice Dentistry
13094
TN
1223G0001X
General Practice Dentistry
17301
MD
1223G0001X
General Practice Dentistry
LL850
MD
1223P0221X
Pediatric Dentistry
065327
NY
1223P0221X
Pediatric Dentistry
Primary
13094
TN

Other

Enumeration date
03/24/2019
Last updated
07/19/2026
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