Individual
LOGEIN BADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 VILLAGE COMMONS DR, ST AUGUSTINE, FL 32092-4544
(904) 561-2596
Mailing address
205 VILLAGE COMMONS DR, ST AUGUSTINE, FL 32092-4544
(904) 561-2596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN31938
FL
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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