NPI | 1164579504 |
---|---|
Professional Name | TERESA M PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 242188) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 4749) |
1223P0221X Dentist, Pediatric Dentistry (Licence: MS pedo16589) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2020-09-19 |