John Peroutka
John Peroutka is a General Practice Dentistry in Midlothian, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2006
Practice location Address checks out
13321 Midlothian Tpke Ste CMidlothian, VA 23113-4270
Phone: (804) 794-5304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 0401410896 (VA) |
|---|
Record details
| NPI number | 1659484558 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 16, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 3614 Hawthorne Ave, Richmond, VA 23222-1824 |
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