Individual
DR. ILIEG OLIVA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2332 SW 82ND CT, MIAMI, FL 33155-1247
(305) 202-4979
Mailing address
960 SW 72ND AVE, MIAMI, FL 33144-4638
(305) 202-4979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 21522
FL
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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