# FERNANDO PEREZ DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DentisTrust
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720480502
- **Authorized official:** DR. FERNANDO A PEREZ DMD (DENTIST)
- **Authorized official phone:** (413) 454-7879

## Contact information

- **Practice address:** 24225 KUYKENDAHL RD., SUITE 100, TOMBALL, TX 77375
- **Practice address phone:** (413) 454-7879
- **Mailing address:** 6807 AUBURN SANDS DR, SPRING, TX 77389-2056
- **Mailing address phone:** (413) 454-7879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 28477 | TX | Yes |

## Other

- **Enumeration date:** 09/23/2014
- **Last updated:** 09/23/2014