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Organization
BLAINE DENTISTRY, PC
Active
Organization
BLAINE DENTISTRY, PC
Active
Other names
Blaine Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J PERPICH DDS (OWNER)
(763) 757-6000
Entity
Organization
Contact information
Practice address
1384 109TH AVE NE, SUITE 200, BLAINE, MN 55434-4515
(763) 757-6000
(763) 757-6004
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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