Individual
DR. TIMOTH RICHARDSON PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3115 MERCEDES DR, MONROE, LA 71201-5153
(318) 322-0576
Mailing address
3115 MERCEDES DR, MONROE, LA 71201-5153
(318) 322-0576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4301
LA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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