Organization
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Active
Parent organization
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Other names
Churchville Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1402 E CHURCHVILLE RD, BEL AIR, MD 21014-4708
(410) 838-5776
Mailing address
1402 E CHURCHVILLE RD, BEL AIR, MD 21014-4708
(410) 838-5776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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