Individual
DR. FLAVIO DE MENDONCA COPELLO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
650 W BALTIMORE ST STE 3219, BALTIMORE, MD 21201-1510
(410) 706-2659
Mailing address
414 LIGHT ST UNIT 4002, BALTIMORE, MD 21202-1344
(410) 804-3239
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
101
MD
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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