Individual
DR. KHAMIDA A BADALOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2459 ARAMINGO AVE, PHILADELPHIA, PA 19125-3731
(215) 427-2800
Mailing address
350 N CLARK ST STE 600, CHICAGO, IL 60654-4782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041409
PA
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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