Individual
MICHAEL LEONOWICH MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
7939 HONEYGO BLVD, SUITE 227, BALTIMORE, MD 21236-4931
(410) 931-0250
(410) 931-4876
Mailing address
10312 HICKORY RIDGE RD, APT 226, COLUMBIA, MD 21044-4615
(410) 992-6798
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13589
MD
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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