Organization
FAINA M. BADINEVA DDS
Active
Other names
Esthetique Dental Group PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAINA M BADINEVA DDS (PRESIDENT)
(215) 772-0707
Entity
Organization
Contact information
Practice address
1518 WALNUT ST, SUITE 400, PHILADELPHIA, PA 19102-3419
(215) 772-0707
(215) 772-0271
Mailing address
1518 WALNUT ST, SUITE 400, PHILADELPHIA, PA 19102-3419
(215) 772-0707
(215) 772-0271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031415L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1381013
UNITED CONCORDIA
PA
01
—
223002
UNITED HEALTHCARE
UT
Enumeration date
05/14/2007
Last updated
10/21/2013
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