Organization
LIFETIME DENTAL CARE OF MARYLAND, BADGER P.C.
Active
Other names
Heartland Dental Care of Maryland, Gerald Awadzi, PC, Key West Crossing Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
15020 SHADY GROVE RD, ROCKVILLE, MD 20850-3364
(301) 738-2111
Mailing address
1200 NETWORK CENTRE DRIVE, SUITE #2, EFFINGHAM, IL 62401
(217) 540-8946
(217) 540-8946
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/17/2012
Last updated
06/07/2021
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