Individual
HERBERT PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
4149 TWEEY BLVD #J, SOUTH GATE, CA 90280
(323) 567-3333
Mailing address
12319 BERENDO AVE, LOS ANGELES, CA 90044-2940
(323) 383-3899
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
64304
CA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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