Organization
RANDALL S PERRY DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL SCOTT PERRY DDS (OWNER)
(704) 881-0990
Entity
Organization
Contact information
Practice address
1132 DAVIE AVE, STATESVILLE, NC 28677
(704) 881-0990
(704) 872-8541
Mailing address
1132 DAVIE AVE, STATESVILLE, NC 28677
(704) 881-0990
(704) 872-8541
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6074
NC
Other
Enumeration date
05/15/2007
Last updated
06/12/2015
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