NPI | 1770798555 |
---|---|
Doing Business As | ESTHETIQUE DENTAL GROUP PC |
Entity Type | Organization |
Authorized Contact | FAINA M BADINEVA President 215-772-0707 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031415L) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2013-10-21 |