Michael Phillip Deperro JR., DDS

NPI #1083625297 in Youngstown, Ohio

Provider Information

NPI Number: 1083625297
Entity Type: Individual
Name: Michael Phillip Deperro JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8430 MARKET STREET
City: Youngstown
State: Ohio
ZIP Code: 44512
Phone: (330) 758-0505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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