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

NPI #1285373860 in Gaithersburg, Maryland

Provider Information

NPI Number: 1285373860
Entity Type: Organization
Organization Name: Lifetime Dental Care of Maryland, Badger, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Primary Specialty: Dentist
Enumeration Date: Jun 1, 2022
Last Updated: Jun 1, 2022

Practice Location

Address: 808 MUDDY BRANCH RD
City: Gaithersburg
State: Maryland
ZIP Code: 20878-2780
Phone: (301) 330-0911

Authorized Official

Name: COURTNEY MONTEITH
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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