Provider Demographics
NPI:1891519153
Name:HAPPY VALLEY DENTAL STUDIO
Entity type:Organization
Organization Name:HAPPY VALLEY DENTAL STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:BADYAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-205-6961
Mailing Address - Street 1:1985 W HAPPY VALLEY RD STE 115
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-2888
Mailing Address - Country:US
Mailing Address - Phone:623-566-0150
Mailing Address - Fax:
Practice Address - Street 1:1985 W HAPPY VALLEY RD STE 115
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-2888
Practice Address - Country:US
Practice Address - Phone:623-566-0150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty