Organization
MCPERRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WAYNE PERRY D.M.D. (DMD/MANAGING MEMBER)
(706) 288-7112
Entity
Organization
Contact information
Practice address
5396 FLOYD RD SW, MABLETON, GA 30126-2216
(770) 941-7588
(770) 941-2119
Mailing address
5396 FLOYD RD SW, MABLETON, GA 30126-2216
(770) 941-7588
(770) 941-2119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014832
GA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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