Individual
DR. KENNETH EUGENE PERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2532 PATTERSON ROAD, SUITE 10, GRAND JUNCTION, CO 81505-1098
(970) 241-2820
(970) 248-9553
Mailing address
2532 PATTERSON ROAD, SUITE 10, GRAND JUNCTION, CO 81505-1098
(970) 241-2820
(970) 248-9553
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
HD104742
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02047421
—
CO
Enumeration date
10/17/2006
Last updated
03/02/2010
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