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Individual
DR. THORNTON TAYLOE PERRY
Active
Individual
DR. THORNTON TAYLOE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
662358
CONCORDIA INS
FL
01
—
67664
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/01/2006
Last updated
07/08/2007
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