Individual
DR. MUSTAFA A BADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 707-8869
Mailing address
309 OLYMPIC AVE, HAVERTOWN, PA 19083-5103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041592
PA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DS041592
PA
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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