Individual
ELINEIDA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.M.S.
Contact information
Practice address
815 N 4TH ST STE C, LONGVIEW, TX 75601-5439
(903) 757-8890
(903) 757-7198
Mailing address
815 N 4TH ST STE C, LONGVIEW, TX 75601-5439
(903) 757-8890
(903) 757-7198
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
32510
TX
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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