Michael Mark Perl, DDS Valid NPI

Individual provider · Periodontics · West Hartford, CT

NPI

1013120906

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

CT3765 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-07

Last updated

2007-07-08