Individual
DR. ALEXANDRA NICOLE PASSARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
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
122300000X
Dentist
18080
MD
1223G0001X
General Practice Dentistry
Primary
18080
MD
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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