Individual
DALEISY PEREZ MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1564 W BRANDON BLVD, BRANDON, FL 33511-4806
(786) 619-7408
Mailing address
655 OVERTON GROVE WAY APT 322, BRANDON, FL 33511-2393
(786) 619-7408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28195
FL
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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