MR. Perry Balcom

NPI #1255678819 in Issaquah, Washington

Provider Information

NPI Number: 1255678819
Entity Type: Individual
Name: MR. Perry Balcom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Denturist
Enumeration Date: Jan 15, 2013
Last Updated: Jan 15, 2013

Practice Location

Address: 22510 SE 64TH PL STE 110
City: Issaquah
State: Washington
ZIP Code: 98027-5389
Phone: (406) 471-1055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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