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Organization

LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.

Active
Parent organization
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Other names
Severn River Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization

Contact information

Practice address
515 BENFIELD RD STE 202, SEVERNA PARK, MD 21146-2500
(410) 544-4012
Mailing address
515 BENFIELD RD STE 202, SEVERNA PARK, MD 21146-2500

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/26/2023
Last updated
01/26/2023
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