Individual provider · Type 1 NPI
Flavio De Mendonca Copello Sr., DDS, PhD
Orthodontics and Dentofacial Orthopedics Dentistry · Baltimore, MD
Practice location
650 W Baltimore St Ste 3219
Baltimore, MD 21201-1510
Mailing address
414 Light St Unit 4002
Baltimore, MD 21202-1344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 101 (MD) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1457085920
Flavio De Mendonca Copello Sr., DDS, PhD's National Provider Identifier is 1457085920, issued on Jul 12, 2022. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Baltimore, MD. The record was last updated on Jul 12, 2022.