Individual
DAVID BADALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13511 78TH DR, FLUSHING, NY 11367-3235
(646) 441-7711
Mailing address
13511 78TH DR, FLUSHING, NY 11367-3235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060608
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
12/14/2022
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