Individual
DR. DANIELLE RENEE PERIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
501 S PRESTON, LOUISVILLE, KY 40292-0001
(502) 852-2901
Mailing address
3065 E LOBO RDG, NEW ALBANY, IN 47150-9597
(502) 459-6126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12010789A
IN
122300000X
Dentist
Primary
8257
KY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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