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Organization

PERRY DENTAL, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS AVA M. PERRY (DDS)
(651) 345-4677
Entity
Organization

Contact information

Practice address
210 N. LAKESHORE DR., LAKE CITY, MN 55041
(651) 345-4677
(651) 345-0177
Mailing address
210 N. LAKESHORE DR, LAKE CITY, MN 55041
(651) 345-4677
(651) 345-0177

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13823
MN

Other

Enumeration date
03/06/2018
Last updated
03/06/2018
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