Individual
ANDREA DECERCE LISELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8955 WOOD RD BLDG 1, BETHESDA, MD 20889-5005
(301) 400-2422
Mailing address
1109 OATES ST NE, WASHINGTON, DC 20002-3823
(305) 505-1101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN18169
FL
1223E0200X
Endodontics
Primary
DN18169
FL
Other
Enumeration date
11/14/2007
Last updated
08/20/2024
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