Individual
OMAR PEREYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC 06 3500, I UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 925-4031
(505) 925-4030
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-9120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4062
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TD-00-53
NM
Other
Enumeration date
04/03/2013
Last updated
05/15/2026
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