Individual
DR. JORGE PELAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1713 S WOODHOUSE RD, VIRGINIA BEACH, VA 23454-1635
(757) 675-1024
Mailing address
1713 S WOODHOUSE RD, VIRGINIA BEACH, VA 23454-1635
(757) 675-1024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411435
VA
Other
Enumeration date
08/24/2005
Last updated
12/14/2012
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