Organization
BADGER CENTER FOR MODERN DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L. MICHAEL BADGER (PRESIDENT)
(407) 370-0200
Entity
Organization
Contact information
Practice address
7009 DR PHILLIPS BLVD, SUITE 200, ORLANDO, FL 32819-5101
(407) 370-0200
(407) 370-0277
Mailing address
7009 DR PHILLIPS BLVD, SUITE 200, ORLANDO, FL 32819-5101
(407) 370-0200
(407) 370-0277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13942
FL
Other
Enumeration date
03/21/2006
Last updated
08/22/2020
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