| NPI | 1265959837 |
|---|---|
| Other Name | DENTAL PROFFESIONALS OF MARYLAND, GERALD AMADZI P.C. |
| Entity Type | Organization |
| Authorized Contact | TABATHA FORREST LEMKE Credentialing Coordinator 217-540-8946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |