| Mark Duane Perry | |
|
104 Tyson St New Boston TX 75570-2820 | |
| (903) 628-3312 | |
| (903) 628-5631 |
| Full Name | Mark Duane Perry |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
Ark-la-tex Pediatric Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 W Us Highway 82, New Boston, TX 75570 Phone: 903-832-5437 Fax: 903-628-0270 |