Individual
NEIL DE PERALTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
609 LIVE OAK LN, WESTON, FL 33327-2463
(954) 389-3697
Mailing address
609 LIVE OAK LN, WESTON, FL 33327-2463
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN15640
FL
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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