| NPI | 1356365910 |
|---|---|
| Former Legal Business Name | DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PC |
| Entity Type | Organization |
| Authorized Contact | BRITTANY NICHELLE HOWARD Credentialing Affiliation Coordinat 217-540-8946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 11918) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-08-13 |