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Individual
EDUARDO PEREZ JR.
Active
Individual
EDUARDO PEREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20174
TX
1223P0221X
Pediatric Dentistry
20174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GO166886
DPS
TX
Enumeration date
09/26/2006
Last updated
03/07/2023
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