| Andrew G Lericos Dds, Llc | |
|
815 Ritchie Hwy Ste 202 Severna Park MD 21146-4164 | |
| (443) 416-1431 | |
| Not Available |
| Full Name | Andrew G Lericos Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 815 Ritchie Hwy Ste 202, Severna Park, Maryland |
| Authorized Official Name and Position | Andrew G Lericos (DENTIST) |
| Authorized Official Contact | 4434161431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew G Lericos Dds, Llc 3119 Starboard Dr Annapolis MD 21403-4317 Ph: () - | Andrew G Lericos Dds, Llc 815 Ritchie Hwy Ste 202 Severna Park MD 21146-4164 Ph: (443) 416-1431 |
| NPI Number | 1427877158 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427877158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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