Individual
CANDACE BADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 W CALENDAR AVE, LA GRANGE, IL 60525-2365
(708) 352-0081
Mailing address
23 W CALENDAR AVE, LA GRANGE, IL 60525-2365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028501
IL
122300000X
Dentist
0401412802
VA
Other
Enumeration date
10/29/2010
Last updated
11/13/2020
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