Individual
ALISAN PERELMUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
564 LIPPINCOTT DR, MARLTON, NJ 08053
(856) 596-3737
Mailing address
564 LIPPINCOTT DR, MARLTON, NJ 08053-4810
(856) 596-3737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DL02711400
NJ
1223G0001X
General Practice Dentistry
D11272300
PA
Other
Enumeration date
06/28/2017
Last updated
07/26/2018
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