Thomas Michael Persico, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Monessen, PA

NPI

1912978271

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DS018597L (PA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-01-26

Last updated

2007-07-08