| Dental Proffesionals Of Maryland, Gerald Amadzi P.c. | |
|
13919 Baltimore Ave Laurel MD 20707-5044 | |
| (301) 498-6511 | |
| Not Available |
| Full Name | Dental Proffesionals Of Maryland, Gerald Amadzi P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13919 Baltimore Ave, Laurel, Maryland |
| Authorized Official Name and Position | Tabatha Forrest Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Proffesionals Of Maryland, Gerald Amadzi P.c. 1200 Network Center Dr Suite 2 Effingham IL 62401 Ph: (217) 540-8946 | Dental Proffesionals Of Maryland, Gerald Amadzi P.c. 13919 Baltimore Ave Laurel MD 20707-5044 Ph: (301) 498-6511 |
| NPI Number | 1265959837 |
|---|---|
| Provider Enumeration Date | 08/24/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265959837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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