Individual
TIMOTHY P. PASSARELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6200 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6416
(410) 549-1200
Mailing address
6200 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6416
(410) 549-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9139
MD
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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