Lifetime Dental Care of Maryland, Badger, P.c.
NPI #1295089001 in Burtonsville, Maryland
Provider Information
- NPI Number
- 1295089001
- 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, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 31, 2012
- Last Updated
- Aug 13, 2019
Practice Location
- Address
- 15648 OLD COLUMBIA PIKE
- City
- Burtonsville
- State
- Maryland
- ZIP Code
- 20866
- Phone
- (240) 389-5003
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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