Individual
DR. ROBERT SIDNEY PERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
532 1ST AVENUE, SUITE 210, COUNCIL BLUFFS, IA 51503-0803
(712) 322-3974
(712) 329-4015
Mailing address
532 1ST AVENUE, SUITE 210, COUNCIL BLUFFS, IA 51503-0803
(712) 322-3974
(712) 329-4015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6274
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141812
—
IA
Enumeration date
04/05/2006
Last updated
07/08/2007
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