Individual
DR. FEDERICO AUGUSTO PEREZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
336 FORT WASHINGTON AVE, SUITE 1-B, NEW YORK, NY 10033-6803
(212) 781-9535
(212) 781-8600
Mailing address
336 FORT WASHINGTON AVE, SUITE 1-B, NEW YORK, NY 10033-6803
(212) 781-9535
(212) 781-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047127-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015985
DORAL DENTAL SERVICES
NY
05
—
01759200
—
NY
Enumeration date
10/19/2005
Last updated
07/09/2007
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