DR. Evan L Perry, D D S

NPI #1104184837 in Provo, Utah

Provider Information

NPI Number: 1104184837
Entity Type: Individual
Name: DR. Evan L Perry, D D S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D D S
Enumeration Date: May 1, 2012
Last Updated: May 1, 2012

Practice Location

Address: 320 RIVER PARK DR
Address 2: SUITE 225
City: Provo
State: Utah
ZIP Code: 84604-6060
Phone: (801) 225-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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