Organization
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Active
Parent organization
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Other names
Muddy Branch Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Authorized official
COURTNEY MONTEITH (CREDENTIALING COORDINATOR)
(217) 540-8306
Entity
Organization
Contact information
Practice address
808 MUDDY BRANCH RD, GAITHERSBURG, MD 20878-2780
(301) 330-0911
Mailing address
808 MUDDY BRANCH RD, GAITHERSBURG, MD 20878-2780
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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