Individual
DR. DOUGLAS LUTHER PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 FRONT ST N, ISSAQUAH, WA 98027-3232
(425) 392-3744
Mailing address
206 FRONT ST N, ISSAQUAH, WA 98027-3232
(425) 392-3744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007083
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023924
—
WA
Enumeration date
10/01/2006
Last updated
07/09/2007
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