Individual
DORAISY SANCHEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 RIVAGE CIR, BRANDON, FL 33511-3700
(305) 766-3678
Mailing address
1170 RIVAGE CIR, BRANDON, FL 33511-3700
(305) 766-3678
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-527385
FL
124Q00000X
Dental Hygienist
Primary
DH32662
FL
124Q00000X
Dental Hygienist
DH33325
FL
Other
Enumeration date
06/13/2024
Last updated
04/06/2026
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