Individual
DR. RUSSELL B PERPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 ENGLE ST, SUITE 16, ENGLEWOOD, NJ 07631-2440
(201) 569-5121
(201) 569-5123
Mailing address
200 ENGLE ST, SUITE 16, ENGLEWOOD, NJ 07631-2440
(201) 569-5121
(201) 569-5123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01136300
NJ
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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