Organization
HI TECH DENTAL GROUP KVZ LLC
Active
Other names
HI TECH DENTAL GROUP KVZ LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ZHAFAR BADALOV DMD (OWNER/DENTIST)
(215) 520-0797
Entity
Organization
Contact information
Practice address
1005 GREEN LN, LEVITTOWN, PA 19057-3103
(215) 915-0505
(267) 585-3341
Mailing address
1005 GREEN LN, LEVITTOWN, PA 19057-3103
(215) 915-0505
(267) 585-3341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS041406
GENERAL DENTISTRY
PA
Enumeration date
04/06/2019
Last updated
04/06/2019
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