Individual
JORGE E PEREZ SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8305 FALLS OF NEUSE RD STE 105, RALEIGH, NC 27615-3546
(787) 246-5392
Mailing address
8305 FALLS OF NEUSE RD STE 105, RALEIGH, NC 27615-3546
(787) 246-5392
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9929
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2011
Last updated
09/29/2015
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