Individual
DR. PETER L PASSERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1430 SPRING HILL RD, MC LEAN, VA 22102-3000
(703) 821-4040
(703) 821-4041
Mailing address
1430 SPRING HILL RD, MC LEAN, VA 22102-3000
(703) 821-4040
(703) 821-4041
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401005265
VA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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