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Individual

DR. VICTOR BADNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
(718) 918-4469
Mailing address
106 W GARDEN RD, LARCHMONT, NY 10538-1728

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
036695
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01717220
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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