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Individual
TAMMY M.E. PERISON
Active
Individual
TAMMY M.E. PERISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046824
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000527145002
BLUECROSSBLUESHIELD WNY
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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