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

NPI #1992899488 in Laurel, Maryland

Provider Information

NPI Number
1992899488
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 - General Practice
Enumeration Date
Oct 2, 2006
Last Updated
Jun 7, 2021

Practice Location

Address
535 MAIN STREET
Address 2
SUITE 113
City
Laurel
ZIP Code
20707-4335
Phone
(301) 490-0044

Authorized Official

Name
TABATHA LEMKE
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-6078

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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