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Individual

MARK STEWART PERLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7124 BROOKWOOD DR, BROOKFIELD, OH 44403
(330) 448-2571
Mailing address
7124 BROOKWOOD DR, BROOKFIELD, OH 44403
(330) 448-2571
(330) 448-2680

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16515
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0483132
OH
Enumeration date
07/05/2006
Last updated
07/08/2007
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