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Organization

KRISTA V BADGER DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTA VON HUSEN BADGER DDS (OWNER)
(503) 288-5891
Entity
Organization

Contact information

Practice address
3839 NE TILLAMOOK ST, PORTLAND, OR 97212-5338
(503) 288-5891
(503) 288-1525
Mailing address
3839 NE TILLAMOOK ST, PORTLAND, OR 97212-5338
(503) 288-5891
(503) 288-1525

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D7649
OR

Other

Enumeration date
09/07/2006
Last updated
08/13/2009
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