Individual
DR. LEONEL PEREZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.D., F.A.C.S
Contact information
Practice address
7617 LITTLE RIVER TPKE STE 900, ANNANDALE, VA 22003-2618
(703) 936-6319
Mailing address
24500 RIDGE RD, DAMASCUS, MD 20872-2130
(210) 542-1267
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
24131
TX
261QM2500X
Medical Specialty Clinic/Center
D0090703
MD
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
0101277440
VA
Other
Enumeration date
08/04/2008
Last updated
11/15/2023
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