Individual
MR. PERRY BALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22510 SE 64TH PL STE 110, ISSAQUAH, WA 98027-5389
(406) 471-1055
Mailing address
22510 SE 64TH PL STE 110, ISSAQUAH, WA 98027-5389
(406) 471-1055
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN 60188130
WA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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