Individual
DR. JORGE PEDRO PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2030 N CAUSEWAY BLVD, MANDEVILLE, LA 70471
(985) 626-3338
(985) 626-0219
Mailing address
2030 N CAUSEWAY BLVD, MANDEVILLE, LA 70471
(985) 626-3338
(985) 626-0219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4505
LA
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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