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Individual

ALBERTO ALEJANDRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2200 KERNAN DR., KERNAN HOSPITAL, BALTIMORE, MD 21207
(410) 448-6290
Mailing address
326 CHAMBORLEY DR, REISTERSTOWN, MD 21136-6149
(410) 702-7300

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
052611-1
NY
1223G0001X
General Practice Dentistry
Primary
14107
MD
1223G0001X
General Practice Dentistry
2540
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005890400
MD
Enumeration date
02/26/2007
Last updated
07/09/2007
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