Individual
JUDY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2741 12 MILE RD, BERKLEY, MI 48072-1629
(248) 439-0088
(248) 439-2900
Mailing address
2741 12 MILE RD, BERKLEY, MI 48072-1629
(248) 439-0088
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018233
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780096792
—
MI
Enumeration date
09/21/2017
Last updated
07/21/2022
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