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NPI Code Detail

MEDICARE: ROCHELLE J, LEPOR, LLC

MEDICARE: ROCHELLE J, LEPOR, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1114136777
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCHELLE J, LEPOR, LLC
Provider Business Mailing Address
First Line : 13823 OUTLET DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4971
Country : US
Telephone Number : 301-890-8005
Fax Number :
Provider Business Practice Location Address
First Line : 13823 OUTLET DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4971
Country : US
Telephone Number : 301-890-8005
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. ROCHELLE J. LEPOR
Credential : D.D.S.
Telephone Number : 301-890-8005
Provider Enumeration Date : 05/21/2007
Last Update Date : 08/22/2020

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Directions to “ROCHELLE J, LEPOR, LLC ” Practice Location

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