| NPI | 1619032620 |
|---|---|
| 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 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-08-13 |