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. |
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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 |
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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 |
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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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