| Organization Name: | BABCOCK DENTAL CENTER |
| NPI Number: | 1104104496 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SYED Z QUADRI (OWNER/DOCTOR) |
| Mailing Address: | 4711 Babcock St Ne Suite #28 Palm Bay |
| State: | FL US |
| Postal Code: | 329052805 |
| Phone Number: | 3219841991 |
| Fax Number: | 3219840975 |
| NPI Enumeration Date: | 08/03/2011 |
| NPI Last Update Date: | 08/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |