Timothy P. Passarello, Dds, Pa | |
6200 Georgetown Blvd Eldersburg MD 21784-6410 | |
(410) 549-1200 | |
Not Available |
Full Name | Timothy P. Passarello, Dds, Pa |
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Speciality | Clinic/center - Dental |
Location | 6200 Georgetown Blvd, Eldersburg, Maryland |
Authorized Official Name and Position | Timothy Passarello (PRESIDENT) |
Authorized Official Contact | 4105491200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Timothy P. Passarello, Dds, Pa 6200 Georgetown Blvd Eldersburg MD 21784-6410 Ph: (410) 549-1200 | Timothy P. Passarello, Dds, Pa 6200 Georgetown Blvd Eldersburg MD 21784-6410 Ph: (410) 549-1200 |
NPI Number | 1194088955 |
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Provider Enumeration Date | 06/18/2012 |
Last Update Date | 06/18/2012 |
Identifier | Type | State | Issuer |
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1194088955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 9139 (Maryland) | Primary |
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