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Organization
PROPHY ONE
Active
Organization
PROPHY ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROY PEREZ DDS (DENTIST/ OWNER)
(954) 533-9867
Entity
Organization
Contact information
Practice address
8075 W OAKLAND PK BLVD, SUNRISE, FL 33351
(954) 533-9867
Mailing address
8075 W OAKLAND PK BLVD, SUNRISE, FL 33351
(954) 533-9867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1211
FL
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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