Individual
DR. JEFFREY ISAIAS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1750 TAMIAMI TRL STE 100, PORT CHARLOTTE, FL 33948-1045
(941) 702-2198
Mailing address
23255 KIM AVE, PORT CHARLOTTE, FL 33954-3652
(305) 769-8416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23427
FL
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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