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Individual
DR. SAMUEL ALAN PASSO
Active
Individual
DR. SAMUEL ALAN PASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
019-020471
IL
1223P0300X
Periodontics
040718
NY
1223P0300X
Periodontics
Primary
12008878
IN
1223P0300X
Periodontics
2901012290
MI
1223P0300X
Periodontics
5321
NE
1223P0300X
Periodontics
DS020240L
PA
Other
Enumeration date
02/14/2006
Last updated
07/10/2013
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