Individual
ANA VALENTINA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38530 LAKE SHORE BLVD, WILLOUGHBY, OH 44094-7163
(407) 342-5437
Mailing address
38530 LAKE SHORE BLVD, WILLOUGHBY, OH 44094-7163
(407) 342-5437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30026771
OH
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386228609
—
OH
Enumeration date
05/12/2021
Last updated
12/28/2023
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