Individual
DR. ILYA BABINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10107 VERREE RD # A, PHILADELPHIA, PA 19116-3613
(215) 698-3710
(215) 698-2721
Mailing address
703 BRIDGEVIEW RD, LANGHORNE, PA 19053-1930
(215) 702-8865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031068L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017885860001
—
PA
Enumeration date
11/29/2006
Last updated
07/08/2007
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