Individual
DR. TYLER PERIMENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 TECHNOLOGY DR FL 2, TRUMBULL, CT 06611-6348
(203) 459-8990
Mailing address
28 MUSTANG DR, MONROE, CT 06468-1371
(203) 209-3116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25011
FL
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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