| NPI | 1770577140 |
|---|---|
| Professional Name | G. LAWRENCE PERRY I |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D6086) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 050242) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-08 |