NPI | 1144622739 |
---|---|
Doing Business As | FAMILY DENTAL OF BEL AIR |
Former Legal Business Name | DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, P.C. |
Entity Type | Organization |
Authorized Contact | BRITTANY NICHELLE HOWARD Credentialing Affiliation Coordinat 217-540-8946 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-09-25 |
Last Update Date | 2019-08-13 |