Individual
DR. BABAK DASTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2191 DEFENSE HWY STE 210, CROFTON, MD 21114-2942
(410) 721-2610
Mailing address
2191 DEFENSE HWY STE 210, CROFTON, MD 21114-2942
(410) 721-2610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15438
MD
Other
Enumeration date
07/04/2013
Last updated
07/10/2015
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