Individual
DR. CELESTINO F PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1000 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1285
(262) 284-9767
(262) 284-5228
Mailing address
1000 N WISCONSIN ST, PORT WASHINGTON, WI 53074-1285
(262) 284-9767
(262) 284-5228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4635
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33723100
—
WI
Enumeration date
08/19/2006
Last updated
06/01/2015
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