Individual
KEVIN D PERRUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 LINCOLN STREET, SUITE 106, HINGHAM, MA 02043-1579
(781) 749-9231
(781) 749-3074
Mailing address
350 LINCOLN STREET, SUITE 106, HINGHAM, MA 02043-1579
(781) 749-9231
(781) 749-3074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687120
UNITED CONCORDIA
—
01
—
X05942
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/11/2006
Last updated
07/08/2007
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