Individual
ERNESTO RENE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3201 SW 107TH AVE, MIAMI, FL 33165-3605
(305) 220-9393
Mailing address
3201 SW 107TH AVE, MIAMI, FL 33165-3605
(305) 220-9393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 20740
FL
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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