Individual
LISA FRANCES VESELOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
AMANDA GALLAGHER ORTHODONTICS, 9650 BELAIR RD, NOTTINGHAM, MD 21236
(410) 877-7716
Mailing address
1301 ALICEANNA ST APT 1005, BALTIMORE, MD 21231-2880
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16809
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2016
Last updated
01/08/2020
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