Individual
MICHAEL PHILLIP DEPERRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8430 MARKET STREET, YOUNGSTOWN, OH 44512
(330) 758-0505
(330) 758-0718
Mailing address
8430 MARKET STREET, YOUNGSTOWN, OH 44512
(330) 758-0505
(330) 758-0718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30014596
OH
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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