Organization
CONWAY VILLAGE DENTAL
Active
Other names
Living Responsibly PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ANN DUDEVOIR-BADGER DDS (CEO)
(603) 447-6707
Entity
Organization
Contact information
Practice address
21A POLIQUIN DRIVE, CONWAY, NH 03818
(603) 447-6707
(603) 447-8376
Mailing address
21A POLIQUIN DRIVE, CONWAY, NH 03818
(603) 447-6707
(603) 447-8376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080677
—
NH
Enumeration date
01/20/2014
Last updated
02/20/2019
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