Organization
LORI L. ANDOCHICK, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI L ANDOCHICK DDS (DR.)
(301) 663-3919
Entity
Organization
Contact information
Practice address
516 TRAIL AVE, FREDERICK, MD 21701-4942
(301) 663-3919
(301) 663-1459
Mailing address
516 TRAIL AVE, FREDERICK, MD 21701-4942
(301) 663-3919
(301) 663-1459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10893
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPT 1942493804
NPT
MD
Enumeration date
02/17/2015
Last updated
02/17/2015
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