Individual
DR. ALEXANDRA PERICOLOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901600567
MI
122300000X
Dentist
Primary
2951000663
MI
Other
Enumeration date
07/01/2019
Last updated
10/28/2024
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