Individual
GENESIS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 NE MAY LN, MCMINNVILLE, OR 97128-9272
(503) 883-4075
(503) 883-4764
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7069
OR
Other
Enumeration date
11/02/2015
Last updated
07/14/2016
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