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Individual

DAVID MASON PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22170
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040448
UNITED CONCORDIA
01
B22170
DENTI CAL
CA
01
D22170
HEALTHY FAMILIES
CA
Enumeration date
02/21/2007
Last updated
07/21/2022
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