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Organization
OKAN DENTAL, PLLC
Active
Organization
OKAN DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDERICO AUGUSTO PEREZ DDS (PRESIDENT)
(956) 584-1800
Entity
Organization
Contact information
Practice address
202 E EXPRESSWAY 83, SUITE E, MISSION, TX 78572-6020
(956) 584-1800
(956) 584-1810
Mailing address
202 E EXPRESSWAY 83, SUITE E, MISSION, TX 78572-6020
(956) 584-1800
(956) 584-1810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235128513
NPI INDIVIDUAL NUMBER
TX
05
—
200561302
—
TX
Enumeration date
03/28/2013
Last updated
03/28/2013
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