Individual
MICHAEL ANGELE PERILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
202C LASALLE AVE., HASBROUCK HEIGHTS, NJ 07604
(201) 727-0988
Mailing address
202C LASALLE AVE., HASBROUCK HEIGHTS, NJ 07604
(201) 727-0988
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19350
NJ
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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