Individual
EDUARDO PEREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10722 POTRANCO RD, SUITE 109, SAN ANTONIO, TX 78251-3314
(210) 307-7709
Mailing address
8219 OLDE VILLAGE DR., SAN ANTONIO, TX 78250
(210) 307-7709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20174
TX
1223P0221X
Pediatric Dentistry
20174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GO166886
DPS
TX
Enumeration date
09/26/2006
Last updated
03/07/2023
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