Individual
MANUEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 N MAIN ST, HILLSVILLE, VA 24343-1133
(276) 728-5899
Mailing address
1051 E STUART DR, GALAX, VA 24333-2520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418479
VA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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