# DANIEL BABADZHANOV DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801409016
- **Authorized official:** DR. DANIEL BABADZHANOV DMD (OFFICER)
- **Authorized official phone:** (631) 552-6324

## Contact information

- **Practice address:** 7025 YELLOWSTONE BLVD STE 1O, FOREST HILLS, NY 11375-3165
- **Practice address phone:** (718) 797-3990
- **Mailing address:** 9931 64TH AVE APT B15, REGO PARK, NY 11374-2658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2020
- **Last updated:** 08/26/2020