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Individual

JESSICA PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1020 E MICHIGAN AVE, SALINE, MI 48176-1525
(734) 429-7676
Mailing address
4148 ROLLING MEADOW LN, YPSILANTI, MI 48197-6621

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901023214
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901023214
MI

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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