Individual
DR. BENTON J PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1600 GARTH BROOKS BLVD STE 150, YUKON, OK 73099-7412
(055) 785-2344
Mailing address
4000 PRESIDENTIAL BLVD APT 706, PHILADELPHIA, PA 19131-1718
(801) 360-4605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6890
OK
1223P0221X
Pediatric Dentistry
Primary
102
OK
Other
Enumeration date
09/09/2010
Last updated
08/27/2024
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