Organization
DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PC
Active
Parent organization
DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PC
Other names
Churchville Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
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
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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