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Individual
RAFAEL BADALOV
Active
Individual
RAFAEL BADALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06310101
NY
122300000X
Dentist
2456265
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/01/2022
Last updated
04/23/2026
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