| Lifetime Dental Care Of Maryland, Badger P.c. | |
|
15020 Shady Grove Rd Rockville MD 20850-3364 | |
| (301) 738-2111 | |
| Not Available |
| Full Name | Lifetime Dental Care Of Maryland, Badger P.c. |
|---|---|
| Speciality | Dentist |
| Location | 15020 Shady Grove Rd, Rockville, 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. 1200 Network Centre Drive Suite #2 Effingham IL 62401 Ph: (217) 540-8946 | Lifetime Dental Care Of Maryland, Badger P.c. 15020 Shady Grove Rd Rockville MD 20850-3364 Ph: (301) 738-2111 |
| NPI Number | 1952659153 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 06/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952659153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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