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Individual

DR. TARA F PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1300 PEACHTREE INDUSTRIAL BLVD, SUITE 4103, SUWANEE, GA 30024-4539
(770) 831-5568
(770) 831-5527
Mailing address
1300 PEACHTREE INDUSTRIAL BLVD, SUITE 4103, SUWANEE, GA 30024-4539
(770) 831-5568
(770) 831-5527

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012548
GA

Other

Enumeration date
02/27/2007
Last updated
08/09/2010
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