Individual
DR. ALBERTO JOSE PERAZA LABRADOR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(347) 724-2418
Mailing address
4125 SWISS AVE APT 212, DALLAS, TX 75204-6692
(469) 328-0048
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
390200000X
TX
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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