Lifetime Dental Care of Maryland, Badger, P.c.
NPI #1255828232 in Havre De Grace, Maryland
Provider Information
- NPI Number
- 1255828232
- Entity Type
- Organization
- Organization Name
- Lifetime Dental Care of Maryland, Badger, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 16, 2018
- Last Updated
- Aug 13, 2019
Practice Location
- Address
- 620 S UNION AVE
- City
- Havre De Grace
- State
- Maryland
- ZIP Code
- 21078-3422
- Phone
- (410) 939-1780
Authorized Official
- Name
- BRITTANY NICHELLE HOWARD
- Title
- CREDENTIALING AFFILIATION COORDINAT
- Phone
- (217) 540-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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