Individual
DANIEL BADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W ADOUE ST, ALVIN, TX 77511-2718
(281) 824-1480
Mailing address
1111 W ADOUE ST, ALVIN, TX 77511-2718
(281) 824-1480
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18484
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18484
CREDENTIALING
TX
Enumeration date
09/17/2015
Last updated
09/17/2015
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