| Perry DO DDS MS Corp | |
|
4482 Barranca Pkwy Ste 182 Irvine CA 92604-4706 | |
| (949) 552-2288 | |
| (949) 552-5976 |
| Full Name | Perry DO DDS MS Corp |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4482 Barranca Pkwy Ste 182, Irvine, California |
| Authorized Official Name and Position | Tri Minh DO (ORTHODONTIST) |
| Authorized Official Contact | 7144038850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry DO DDS MS Corp 4482 Barranca Pkwy Ste 182 Irvine CA 92604-4706 Ph: (949) 552-2288 | Perry DO DDS MS Corp 4482 Barranca Pkwy Ste 182 Irvine CA 92604-4706 Ph: (949) 552-2288 |
| NPI Number | 1215755665 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215755665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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