Lifetime Dental Care of Maryland, Badger, P.c.

NPI #1265959837 in Laurel, Maryland

Provider Information

NPI Number
1265959837
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
Aug 24, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
13919 BALTIMORE AVE
City
Laurel
ZIP Code
20707-5044
Phone
(301) 498-6511

Authorized Official

Name
TABATHA FORREST LEMKE
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8946

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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