BADGER CENTER FOR MODERN DENTISTRY, PA
Dentist at Dr Phillips Blvd, Orlando, FL

License number
Florida DN13942
Category
Dentist
Type
General Practice
Owner
Name: L. MICHAEL BADGER
Title: PRESIDENT
Phone: (407) 370-0200
Address
Address
7009 Dr Phillips Blvd SUITE 200, Orlando, FL 32819
National Provider ID: 1609835453
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BADGER CENTER FOR MODERN DENTISTRY, PA

Orlando, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Jun 16, 1999
Inactive since:
Sep 24, 2010
Addresses:
7009 Dr Phillips Blvd 200, Orlando, FL 32819 (Physical)
7009 Dr Phillips Blvd, Orlando, FL 32819
State ID:
P99000054740
Business type:
Florida Profit Corporation
S:
L. Michael Dds Badger inactive, 9672 Camberley Cir, Orlando, FL 32836 (Physical),Michael L. Badger inactive,L. Michael D Badger inactive
Agent:
Badger, L.michael D.d.s,7009 Dr Phillips Blvd, Orlando, FL 32819 (Physical)
EIN:
59-3584975

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