Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 3333 | CO |
NPI | 1003022948 |
---|---|
Provider Name | Dr. Frank A Perlov |
First Address | Denver, CO 80206-5126 |
Second Address | Denver, CO 80206-5126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 09/07/2007 |