Individual
JILLIAN ELIZABETH PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762-9998
(907) 443-3309
(907) 443-3466
Mailing address
PO BOX 2136, NOME, AK 99762-2136
(907) 434-0450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021228
MI
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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