Individual
BRENDA BADKE LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 298-1782
Mailing address
2333 N 6TH ST, GRAND JUNCTION, CO 81501-2001
(970) 298-1782
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002024339
CO
124Q00000X
Dental Hygienist
11758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39400247
—
CO
Enumeration date
09/28/2016
Last updated
09/28/2016
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