Individual
ELAINE PEREZ GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2627 NE 203RD ST STE 112, AVENTURA, FL 33180-1945
(305) 339-5701
(305) 394-6106
Mailing address
18895 NW 77TH CT, HIALEAH, FL 33015-5281
(941) 320-1892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26135
FL
Other
Enumeration date
06/25/2021
Last updated
06/19/2024
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