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General NPI Number Information
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NPI Number | 1952660219
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Entity Type | Organization
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Legal Business Name | DAVID M. PERRY, DDS, SHARINE THENARD, DDS, AND MYLINH NGO, DMD, INC.
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1105 ATLANTIC AVE STE 101
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City | ALAMEDA
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State | CA
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Zip | 94501-1185
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Country | US
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Telephone | 510-521-5016
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Fax | 510-522-8283
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Provider Business Mailing Address
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Address Line | 1105 ATLANTIC AVE STE 101
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City | ALAMEDA
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State | CA
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Zip | 94501-1185
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Country | US
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Telephone | 510-521-5016
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Fax | 510-522-8283
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MASON PERRY
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Credential | D.D.S.
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Telephone | 510-521-5016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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