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
Authorized Official
- Name
- TABATHA FORREST LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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