Individual
DR. JOHNNY PERALTA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6600 COW PEN RD STE 204, MIAMI LAKES, FL 33014-7600
(305) 823-7521
(305) 556-5660
Mailing address
6600 COW PEN RD STE 204, MIAMI LAKES, FL 33014-7600
(305) 823-7521
(305) 556-5660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1111
FL
Other
Enumeration date
08/22/2013
Last updated
01/23/2019
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