Provider Demographics
NPI:1467625350
Name:DRS. DILORENZO & HRECHKA, PA
Entity Type:Organization
Organization Name:DRS. DILORENZO & HRECHKA, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:HRECHKA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-839-2500
Mailing Address - Street 1:6130 OXON HILL RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3103
Mailing Address - Country:US
Mailing Address - Phone:301-839-2500
Mailing Address - Fax:301-749-7236
Practice Address - Street 1:6130 OXON HILL RD
Practice Address - Street 2:SUITE 304
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3103
Practice Address - Country:US
Practice Address - Phone:301-839-2500
Practice Address - Fax:301-749-7236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD69521223X0400X
MD53391223X0400X
MD73411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty