Individual
DIANA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17776 NW 57TH AVE, HIALEAH, FL 33015-5118
(786) 587-8540
Mailing address
17776 NW 57TH AVE, HIALEAH, FL 33015-5118
(786) 587-8540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
569002939
FL
1223G0001X
General Practice Dentistry
Primary
DN27022
FL
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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