| NPI | 1952659153 |
|---|---|
| Former Legal Business Name | HEARTLAND DENTAL CARE OF MARYLAND, GERALD AWADZI, PC |
| Doing Business As | KEY WEST CROSSING DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TABATHA LEMKE Credentialing COO Rdinator 217-540-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2021-06-07 |