Individual
LISA CAROLINE D'AFFRONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-3194
Mailing address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-3194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15324
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2012
Last updated
11/21/2013
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