Individual
PAUL PERRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7028 WEBSTER ROAD, COWEN, WV 26206
(304) 226-5114
Mailing address
PO BOX 1079, COWEN, WV 26206-1079
(304) 226-5854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4121
WV
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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