DR. Samuel Perry JR., DDS

NPI #1205534898 in Las Vegas, Nevada

Provider Information

NPI Number: 1205534898
Entity Type: Individual
Name: DR. Samuel Perry JR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 22, 2023
Last Updated: Sep 28, 2023

Practice Location

Address: 1700 W CHARLESTON BLVD BLDG D
City: Las Vegas
State: Nevada
ZIP Code: 89102-2335
Phone: (702) 774-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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