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Perry Dean Burtch Valid NPI

Individual provider · General Practice Dentistry · Loma Linda, CA

NPI
1871744029
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
D-2012 (ID)
Sex
Male
Sole proprietor
No
Enumerated
2008-10-07
Last updated
2008-10-07
Practice location
11092 Anderson Street, Llu School Of Dentistry
Loma Linda, CA 92350-0001
(909) 558-4613

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