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Organization
NUTRIDENTIST
Active
Organization
NUTRIDENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PEREZ MOREJON DMD (DENTIST)
(786) 298-4612
Entity
Organization
Contact information
Practice address
311 NE 8TH ST STE 107, HOMESTEAD, FL 33030-4734
(305) 245-3144
Mailing address
9453 SW 174TH ST, PALMETTO BAY, FL 33157-5614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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