Organization
PCP DENTAL LLC
Active
Other names
Avenue Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL PEREZ DDS (OWNER/DENTIST)
(504) 304-4761
Entity
Organization
Contact information
Practice address
4221 MAGAZINE ST, NEW ORLEANS, LA 70115-2734
(504) 304-4761
(504) 302-2672
Mailing address
4221 MAGAZINE ST, NEW ORLEANS, LA 70115-2734
(504) 304-4761
(504) 302-2672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6165
LA
Other
Enumeration date
12/08/2015
Last updated
05/28/2020
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