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Individual

DR. AI M PERRARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
308 S MAIN ST, LOCKHART, TX 78644-2752
(512) 398-6122
(512) 213-0820
Mailing address
308 S MAIN ST, LOCKHART, TX 78644-2752
(512) 398-6122
(512) 213-0820

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22391
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176055501
TX
05
176055502
TX
05
176055503
TX
05
176055505
TX
05
176055506
TX
05
176055507
TX
Enumeration date
08/20/2006
Last updated
07/27/2012
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