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

NPI #1972713352 in Mitchellville, Maryland

Provider Information

NPI Number: 1972713352
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
Enumeration Date: May 23, 2007
Last Updated: Aug 13, 2019

Practice Location

Address: 11721 WOODMORE RD
Address 2: 170
City: Mitchellville
State: Maryland
ZIP Code: 20721-4117
Phone: (301) 218-4110

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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