Provider Demographics
NPI:1184986960
Name:PERRI, GEORGE RICHARD (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:RICHARD
Last Name:PERRI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8152 PAINTER AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3100
Mailing Address - Country:US
Mailing Address - Phone:562-698-8272
Mailing Address - Fax:
Practice Address - Street 1:8152 PAINTER AVE
Practice Address - Street 2:STE 101
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3100
Practice Address - Country:US
Practice Address - Phone:562-698-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice