Individual
JAMES DAVID PERLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16103 W 135TH ST, OLATHE, KS 66062-1516
(913) 829-9222
Mailing address
11201 OUTLOOK ST APT 3253, OVERLAND PARK, KS 66211-1975
(573) 721-1181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62114
KS
Other
Enumeration date
05/02/2023
Last updated
01/31/2024
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