Individual
ANALICY TICIANI PERINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2489 COBBS FORD RD, PRATTVILLE, AL 36066-7899
(334) 290-8095
Mailing address
2489 COBBS FORD RD, PRATTVILLE, AL 36066-7899
(334) 290-8095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007385-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2024
Last updated
09/18/2024
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