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NPI Code Detail

MEDICARE: DR. MARIELAINA PERRONE D.D.S.

MEDICARE:  DR. MARIELAINA  PERRONE  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3509NV

General Provider Information

NPI Number : 1679882153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIELAINA PERRONE D.D.S.
Provider Business Mailing Address
First Line : 2551 N GREEN VALLEY PKWY
Second Line : SUITE A-405
City : HENDERSON
State : NV
Zip : 89014-0272
Country : US
Telephone Number : 702-458-2929
Fax Number : 702-458-0831
Provider Business Practice Location Address
First Line : 2551 N GREEN VALLEY PKWY
Second Line : SUITE A-405
City : HENDERSON
State : NV
Zip : 89014-0272
Country : US
Telephone Number : 702-458-2929
Fax Number : 702-458-0831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 09/30/2010

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Directions to “ DR. MARIELAINA PERRONE D.D.S.” Practice Location

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