Individual
ELIZABETH PERONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 ADA DR SE, ADA, MI 49301-9013
(616) 676-9177
Mailing address
101 W MARSHALL ST UNIT 33, RICHMOND, VA 23220-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022939
MI
Other
Enumeration date
07/11/2016
Last updated
03/05/2024
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