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Organization
PEREZ FAMILY DENTAL PA
Active
Organization
PEREZ FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZZAH MARY PEREZ D.D.S. (DENTIST)
(817) 922-8552
Entity
Organization
Contact information
Practice address
2715 W BERRY ST, FORT WORTH, TX 76109-2346
(817) 922-8552
(817) 922-9286
Mailing address
2715 W BERRY ST, FORT WORTH, TX 76109-2346
(817) 922-8552
(817) 922-9286
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19738
TX
Other
Enumeration date
04/04/2007
Last updated
05/15/2008
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