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

NPI #1881021855 in Westminster, Maryland

Provider Information

NPI Number
1881021855
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 4, 2013
Last Updated
Aug 13, 2019

Practice Location

Address
480 MEADOW CREEK DR
Address 2
STE B
ZIP Code
21158-4445
Phone
(410) 415-9029

Authorized Official

Name
BRITTANY NICHELLE HOWARD
Title
CREDENTIALING AFFILIATION COORDIN
Phone
(217) 540-8946

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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