Individual
DAVID PERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
411 E HOWARD ST, HIBBING, MN 55746-1711
(218) 263-8381
(218) 263-8383
Mailing address
411 E HOWARD ST, HIBBING, MN 55746-1711
(218) 263-8381
(218) 263-8383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69624PE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/28/2007
Last updated
07/08/2007
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