Individual
DANIELA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1163 W GRAND AVE, GROVER BEACH, CA 93433-2149
(805) 904-6979
Mailing address
615 CALLE CIELO, NIPOMO, CA 93444-9593
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
112045
CA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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