Individual
LYUSYA R BADISHYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
301 E CITY AVE, SUITE G5, BALA CYNWYD, PA 19004-1708
(610) 660-9510
Mailing address
401 COMMERCE DR, SUITE 108, FT WASHINGTON, PA 19034-2714
(215) 550-7186
(215) 646-6166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS039716
PA
Other
Enumeration date
08/21/2013
Last updated
02/27/2014
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