Mark Duane Perry | |
104 Tyson St New Boston TX 75570-2820 | |
(903) 628-3312 | |
(903) 628-5631 |
Full Name | Mark Duane Perry |
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Speciality | Dentist - General Practice |
Location | 104 Tyson St, New Boston, Texas |
Authorized Official Name and Position | Mark Duane Perry (DOCTOR) |
Authorized Official Contact | 9036283312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark Duane Perry 104 Tyson New Boston TX 75570-2028 Ph: (903) 628-3312 | Mark Duane Perry 104 Tyson St New Boston TX 75570-2820 Ph: (903) 628-3312 |
NPI Number | 1245500099 |
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Provider Enumeration Date | 01/11/2012 |
Last Update Date | 01/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245500099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 16865 (Texas) | Primary |