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Individual

DR. JORGE LUIS PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
LOCAL 4A PARQUE Y ROSSI, TERMINAL TOMAS KUILAN, BAYAMON, PR 00960
(787) 398-3011
Mailing address
PO BOX 9501, BAYAMON, PR 00960-9501
(787) 398-3011

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.028957
IL
1223G0001X
General Practice Dentistry
Primary
1489
PR
1223G0001X
General Practice Dentistry
27916
TX

Other

Enumeration date
07/05/2006
Last updated
06/13/2014
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