Provider Demographics
NPI:1851661524
Name:ADELA MOROCHO, DDS, LLC
Entity Type:Organization
Organization Name:ADELA MOROCHO, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOROCHO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-681-4900
Mailing Address - Street 1:11161 NEW HAMPSHIRE AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2606
Mailing Address - Country:US
Mailing Address - Phone:301-681-4900
Mailing Address - Fax:301-681-8690
Practice Address - Street 1:11161 NEW HAMPSHIRE AVE STE 430
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2606
Practice Address - Country:US
Practice Address - Phone:301-681-4900
Practice Address - Fax:301-681-8690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD145631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD027133100Medicaid