Individual
DR. PERRY RONALD PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(800) 325-3982
Mailing address
570 N FOREST RD, CRAWFORDSVILLE, IN 47933-6134
(765) 362-3694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008843A
IN
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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