# HI TECH DENTAL GROUP KVZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HI TECH DENTAL GROUP KVZ LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598228637
- **Authorized official:** ZHAFAR BADALOV DMD (OWNER/DENTIST)
- **Authorized official phone:** (215) 520-0797

## Contact information

- **Practice address:** 1005 GREEN LN, LEVITTOWN, PA 19057-3103
- **Practice address phone:** (215) 915-0505
- **Practice address fax:** (267) 585-3341
- **Mailing address:** 1005 GREEN LN, LEVITTOWN, PA 19057-3103
- **Mailing address phone:** (215) 915-0505
- **Mailing address fax:** (267) 585-3341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2019
- **Last updated:** 04/06/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DS041406 | GENERAL DENTISTRY | PA |