| Wooddell & Passaro Dental Group Llc | |
|
3102 Davidsonville Road Davidsonville MD 21035 | |
| (410) 956-5555 | |
| (410) 798-5165 |
| Full Name | Wooddell & Passaro Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3102 Davidsonville Road, Davidsonville, Maryland |
| Authorized Official Name and Position | Joseph C Passaro (OWNER DENTIST) |
| Authorized Official Contact | 4109565555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wooddell & Passaro Dental Group Llc Po Box 364 Davidsonville MD 21035 Ph: (410) 956-5555 | Wooddell & Passaro Dental Group Llc 3102 Davidsonville Road Davidsonville MD 21035 Ph: (410) 956-5555 |
| NPI Number | 1407020084 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407020084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7646 (Maryland) | Secondary |
| 1223G0001X | Dentist - General Practice | 7592 (Maryland) | Primary |
Davidsonville Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3102 Davidsonville Rd, Davidsonville, MD 21035 Phone: 410-956-5555 |