Provider Demographics
NPI:1215755665
Name:PERRY DO DDS MS CORP
Entity type:Organization
Organization Name:PERRY DO DDS MS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRI
Authorized Official - Middle Name:MINH
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:714-403-8850
Mailing Address - Street 1:4482 BARRANCA PKWY STE 182
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4706
Mailing Address - Country:US
Mailing Address - Phone:949-552-2288
Mailing Address - Fax:949-552-5976
Practice Address - Street 1:4482 BARRANCA PKWY STE 182
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4706
Practice Address - Country:US
Practice Address - Phone:949-552-2288
Practice Address - Fax:949-552-5976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty