-- MICHAEL CHARLES PERRY --
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1265594725- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2020 UNION ST STE 200, LAFAYETTE, IN, 479042694
- Phone
- (765) 446-8808
- Fax
- (765) 446-9567
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: IN #12006826