Evan L Perry, D D S Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1104184837
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 142103 (UT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-05-01
- Last updated
- 2012-05-01
Practice location
320 River Park Dr, Suite 225
Provo, UT 84604-6060
(801) 225-7111