Individual
ANDRE MORAN-CORPENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-2940
Mailing address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-2940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18637
MD
Other
Enumeration date
04/23/2018
Last updated
06/24/2025
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