Individual
JENNY BEATRIZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.A
Contact information
Practice address
12121 WILSHIRE BLVD, #1111, LOS ANGELES, CA 90025-1123
(310) 820-9933
(310) 820-0177
Mailing address
15516 NORDHOFF ST, #209, NORTH HILLS, CA 91343-3255
(818) 277-4498
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
75959
CA
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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