Individual
DR. PETER M PERIMENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
77 GLENBROOK RD, STE 108, STAMFORD, CT 06902-2978
(203) 348-1555
(203) 324-4338
Mailing address
77 GLENBROOK RD, STE 108, STAMFORD, CT 06902-2978
(203) 348-1555
(203) 324-4338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7545
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202033880
TAXID#
CT
Enumeration date
03/12/2007
Last updated
11/13/2012
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