| NPI | 1639192289 |
|---|---|
| Former Name | CALLEY JO PERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 7742) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9158) |
| 1223G0001X Dentist, General Practice (Licence: TN 7742) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-09-23 |