| Perris Dental | |
|
2055 N Perris Blvd Ste E-12 Perris CA 92571-2509 | |
| (951) 657-9965 | |
| (951) 657-6682 |
| Full Name | Perris Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2055 N Perris Blvd, Perris, California |
| Authorized Official Name and Position | Washington Cullampe (OWNER) |
| Authorized Official Contact | 9516579965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perris Dental 2055 N Perris Blvd Ste E-12 Perris CA 92571-2509 Ph: (951) 657-9965 | Perris Dental 2055 N Perris Blvd Ste E-12 Perris CA 92571-2509 Ph: (951) 657-9965 |
| NPI Number | 1861834988 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861834988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49507 (California) | Primary |
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