Provider Demographics
NPI:1902344997
Name:DELORENZO, AIMEE ELISABETH (DMD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:ELISABETH
Last Name:DELORENZO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 WISCONSIN AVE NW STE 107
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4136
Mailing Address - Country:US
Mailing Address - Phone:202-759-7431
Mailing Address - Fax:
Practice Address - Street 1:5101 WISCONSIN AVE NW STE 107
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4136
Practice Address - Country:US
Practice Address - Phone:202-759-7431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN20000191223G0001X
VA04014176661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice