Krista V Badger DDS

NPI 1720236979 - Dentist - 1223P0221X

NPI Details
NPI 1720236979
Gender Female
Enumeration Date 08/29/2008
Last Updated 08/18/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
3839 NE TILLAMOOK ST
PORTLAND OR, 97212-5338, US
Phone (503) 288-5891
Fax (503) 288-1525
Business Location
3839 NE TILLAMOOK ST
PORTLAND OR, 97212-5338, US
Phone (503) 288-5891
Fax (503) 288-1525
Toxanomy
Taxonomy Code 1223P0221X
License State Oregon
License Number D7649
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According to our database, Krista V Badger DDS NPI is 1720236979, taxonomy code is 1223P0221X and license number is D7649, license state is located at Oregon. Krista V Badger DDS physically located at 3839 Ne Tillamook St, Portland OR, 97212-5338. NPI Number Krista V Badger DDS has the Individual type.

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1720236979 NPI number is provided on an as is basis without warranty of any kind. 1720236979 is maintained by the National Plan & Provider Enumeration System. The contents of Krista V Badger DDS are for informational purposes only.