Individual
DR. ROBERT LEE PERLOT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.S.
Contact information
Practice address
1415 HARRISON AVE. N.W., SUITE 202, OLYMPIA, WA 98502
(360) 786-1600
(360) 705-2116
Mailing address
1415 HARRISON AVE NW, SUITE 202, OLYMPIA, WA 98502-5332
(360) 786-1600
(360) 705-2116
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60115081
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS030408L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE60115081
LICENSE
WA
Enumeration date
10/25/2006
Last updated
08/06/2013
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