Individual
DR. DENNIS GENE PERALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8070 SW HALL BLVD, #200, BEAVERTON, OR 97008-6419
(503) 644-1110
(503) 641-6431
Mailing address
8070 SW HALL BLVD, #200, BEAVERTON, OR 97008-6419
(503) 644-1110
(503) 641-6431
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D6715
OR
1223P0300X
Periodontics
D8616
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141506
LABOR & INDUSTRIES
WA
05
—
134580
—
OR
05
—
5036165
—
WA
01
—
8932837
CRIME VICTIMS
WA
Enumeration date
02/20/2007
Last updated
02/14/2013
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