Individual
RANDY PEREZ-PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1737 N 2000 W STE G, CLINTON, UT 84015-8215
(801) 728-9000
Mailing address
7901 NW 170TH ST, HIALEAH, FL 33015-3806
(786) 448-0221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14213045-9926
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2025
Last updated
04/17/2025
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