Individual
DR. WILLIAM JOSEPH PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1606 17TH ST, LEWISTON, ID 83501-4031
(208) 743-0141
(208) 743-7469
Mailing address
1606 17TH ST, LEWISTON, ID 83501-4031
(208) 743-0141
(208) 743-7469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3006
ID
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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