Individual
DANIEL BABADZHANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
511 CLINTON AVE, BROOKLYN, NY 11238-2246
(718) 416-6367
Mailing address
9931 64TH AVE APT B15, REGO PARK, NY 11374-2658
(631) 552-6324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060092
NY
1223G0001X
General Practice Dentistry
11950
CT
Other
Enumeration date
05/25/2017
Last updated
08/26/2020
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