NPI 1003012501

Jay R. Perko, DDS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Visalia, CA

Practice location

Address: 426 S Garden St, Visalia, CA 93277-2810
Phone: (559) 732-5658
Fax: (559) 732-1958

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence CA24047 (CA)

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Registry record

NPI: 1003012501
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.