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General NPI Number Information
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NPI Number | 1215755665
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Entity Type | Organization
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Legal Business Name | PERRY DO DDS MS CORP
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 4482 BARRANCA PKWY STE 182
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City | IRVINE
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State | CA
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Zip | 92604-4706
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Country | US
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Telephone | 949-552-2288
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Fax | 949-552-5976
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Provider Business Mailing Address
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Address Line | 4482 BARRANCA PKWY STE 182
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City | IRVINE
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State | CA
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Zip | 92604-4706
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Country | US
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Telephone | 949-552-2288
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Fax | 949-552-5976
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. TRI MINH DO
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Credential | DDS MS
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Telephone | 714-403-8850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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