Individual
JESSICA LYN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
133 PARK ST, MALONE, NY 12953-1243
(518) 481-2347
Mailing address
10 WHEELER AVE, MALONE, NY 12953-1636
(518) 483-7366
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025395
NY
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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