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Individual
JORGE E PEREZ SANTOS
Active
Individual
JORGE E PEREZ SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9929
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/22/2011
Last updated
09/29/2015
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