Individual
DR. ANDREW GEORGE LERICOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9727 GREENSIDE DR, #101, COCKEYSVILLE, MD 21030-5030
(410) 628-0086
Mailing address
647 WASHINGTON BLVD, BALTIMORE, MD 21230-2215
(443) 416-1431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15960
MD
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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