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Individual

DEAN ALEXIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7520 SURRATTS RD, CLINTON, MD 20735-3353
(301) 238-5742
Mailing address
3169 CHESTER GROVE RD, UPPER MARLBORO, UPPER MARLBORO, MD 20774-2483

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0700
MD

Other

Enumeration date
06/19/2015
Last updated
06/19/2015
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