Organization
TIMOTHY P. PASSARELLO, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PASSARELLO D.D.S. (PRESIDENT)
(410) 549-1200
Entity
Organization
Contact information
Practice address
6200 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6410
(410) 549-1200
Mailing address
6200 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6410
(410) 549-1200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9139
MD
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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