Individual
KENDY SHIRLEY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL AST.
Contact information
Practice address
1316 WRENWOOD WAY, MADERA, CA 93638-1827
(559) 270-2686
Mailing address
1316 WRENWOOD WAY, MADERA, CA 93638-1827
(559) 270-2689
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
01/23/2009
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