NPI | 1891820445 |
---|---|
Former Name | PERRY TRI DO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 46258) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2020-04-17 |