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Organization
MARK DUANE PERRY
Active
Organization
MARK DUANE PERRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DUANE PERRY DDS (DOCTOR)
(903) 628-3312
Entity
Organization
Contact information
Practice address
104 TYSON ST, NEW BOSTON, TX 75570-2820
(903) 628-3312
(903) 628-5631
Mailing address
104 TYSON, NEW BOSTON, TX 75570-2028
(903) 628-3312
(903) 628-5631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16865
TX
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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