Organization
PRO DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAMIDA BADALOVA (OWNER / DENTIST)
(215) 313-1896
Entity
Organization
Contact information
Practice address
7025 BRISTOL PIKE, LEVITTOWN, PA 19057-4707
(215) 915-0505
(267) 585-3341
Mailing address
7025 BRISTOL PIKE, LEVITTOWN, PA 19057-4707
(215) 915-0505
(267) 585-3341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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