Individual
KARLA JOSE PEREZ-GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
293 MAIN AVE, PASSAIC, NJ 07055
(973) 471-0099
(973) 396-1840
Mailing address
293 MAIN AVE, PASSAIC, NJ 07055
(973) 471-0099
(973) 396-1840
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
060264-01
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22D102627400
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
06993
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
08/04/2023
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