Individual
DR. SAMUEL PERRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1700 W CHARLESTON BLVD BLDG D, LAS VEGAS, NV 89102-2335
(702) 774-5130
Mailing address
1700 W CHARLESTON BLVD BLDG D, LAS VEGAS, NV 89102-2335
(504) 251-7169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7829
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
02/22/2023
Last updated
09/28/2023
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