Organization
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, P.C.
Other names
Dental Professionals of Maryland, Gerald Awadzi, P.C., Family Dental of Bel Air
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, P.C.
Authorized official
BRITTANY NICHELLE HOWARD (CREDENTIALING AFFILIATION COORDINAT)
(217) 540-8946
Entity
Organization
Contact information
Practice address
703 BALTIMORE PIKE, BEL AIR, MD 21014-4209
(443) 356-4628
Mailing address
1200 NETWORK CENTRE DRIVE, SUITE #2, EFFINGHAM, IL 62401
(217) 540-8946
(217) 540-8946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
08/13/2019
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