Individual
DR. MIRIAM PERDOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2200 US HIGHWAY 98 STE 8, DAPHNE, AL 36526-4382
(251) 626-0092
Mailing address
2200 US HIGHWAY 98 STE 8, DAPHNE, AL 36526-4382
(251) 626-0092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5105
AL
Other
Enumeration date
12/28/2006
Last updated
12/12/2022
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