Individual
DR. MARK J PERELMUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M. S.
Contact information
Practice address
916 DUPONT RD, SECOND FLOOR, LOUISVILLE, KY 40207-4662
(502) 897-1112
(502) 897-5279
Mailing address
916 DUPONT RD, SECOND FLOOR, LOUISVILLE, KY 40207-4662
(502) 897-1112
(502) 897-5279
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
610677949
KY
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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