Individual
DR. DANIEL ENRIQUE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3580 KEAGY RD SW, ROANOKE, VA 24018-1152
(540) 989-5257
Mailing address
3580 KEAGY RD SW, ROANOKE, VA 24018-1152
(540) 989-5257
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401419343
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
F-24895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204989206
—
TX
Enumeration date
08/04/2009
Last updated
08/07/2025
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