Dr. Ilya Meyer Babeck, DMD
Dentist, General Practice in Tamarac, FL. Individual provider (NPI-1).
NPI number1164576591
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164576591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ilya Meyer Babeck
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN17365 | FL | Yes |
| 1223G0001X | Dentist, General Practice | 043110 | NY |
Other names
- Ilya Meyer Bababekov (Former Name)
Practice location
6209 W Commercial BlvdSuite #6
Tamarac, FL 33319-2335
Phone 954-726-3200 · Fax 954-276-0372
Mailing address
6209 W Commercial BlvdSuite #6
Tamarac, FL 33319-2335
Phone 954-726-3200 · Fax 954-276-0372
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