| Perico, Pc | |
|
90 Humphrey St Swampscott MA 01907-2542 | |
| (781) 596-2220 | |
| (781) 598-8050 |
| Full Name | Perico, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 90 Humphrey St, Swampscott, Massachusetts |
| Authorized Official Name and Position | Roger J Wise (PRESIDENT) |
| Authorized Official Contact | 7815962220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perico, Pc 90 Humphrey St Swampscott MA 01907-2542 Ph: (781) 596-2220 | Perico, Pc 90 Humphrey St Swampscott MA 01907-2542 Ph: (781) 596-2220 |
| NPI Number | 1437393139 |
|---|---|
| Provider Enumeration Date | 04/24/2009 |
| Last Update Date | 04/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437393139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 11662 (Massachusetts) | Primary |
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