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Individual

DR. LUIS RAFAEL PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, PA

Contact information

Practice address
4125 FAIRWAY DR STE 100, CARROLLTON, TX 75010-6506
(214) 731-0558
(214) 731-0538
Mailing address
4125 FAIRWAY DR STE 100, CARROLLTON, TX 75010-6506
(214) 731-0558
(214) 731-0538

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19987
TX

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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