| Lifetime Dental Care Of Maryland, Badger, P.c. | |
|
810 Landmark Dr Ste 124 Glen Burnie MD 21061-4987 | |
| (410) 768-0550 | |
| Not Available |
| Full Name | Lifetime Dental Care Of Maryland, Badger, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 810 Landmark Dr Ste 124, Glen Burnie, Maryland |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Of Maryland, Badger, P.c. 810 Landmark Dr Ste 124 Glen Burnie MD 21061-4987 Ph: () - | Lifetime Dental Care Of Maryland, Badger, P.c. 810 Landmark Dr Ste 124 Glen Burnie MD 21061-4987 Ph: (410) 768-0550 |
| NPI Number | 1770168486 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770168486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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