| Badger Mountain Dental, Llc | |
|
482 Keene Rd. Richland WA 99352 | |
| (509) 578-1200 | |
| Not Available |
| Full Name | Badger Mountain Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 482 Keene Rd., Richland, Washington |
| Authorized Official Name and Position | Lawrence Braithwaite (OWNER/DENTIST) |
| Authorized Official Contact | 5095781200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Badger Mountain Dental, Llc 482 Keene Rd Richland WA 99352 Ph: (509) 578-1200 | Badger Mountain Dental, Llc 482 Keene Rd. Richland WA 99352 Ph: (509) 578-1200 |
| NPI Number | 1770973133 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770973133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE 00011018 (Washington) | Primary |
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