| Esthetique Dental Group Pc | |
|
1518 Walnut St Suite 400 Philadelphia PA 19102-3419 | |
| (215) 772-0707 | |
| (215) 772-0271 |
| Full Name | Esthetique Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1518 Walnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Faina M Badineva (PRESIDENT) |
| Authorized Official Contact | 2157720707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esthetique Dental Group Pc 1518 Walnut St Suite 400 Philadelphia PA 19102-3419 Ph: (215) 772-0707 | Esthetique Dental Group Pc 1518 Walnut St Suite 400 Philadelphia PA 19102-3419 Ph: (215) 772-0707 |
| NPI Number | 1770798555 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 10/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770798555 | NPI | - | NPPES |
| 1381013 | Other | PA | UNITED CONCORDIA |
| 223002 | Other | UT | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS031415L (Pennsylvania) | Primary |
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