Individual
DR. LOUIS NICHOLAS PERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1429 S BROAD ST, PHILADELPHIA, PA 19147-4919
(215) 468-1425
Mailing address
1429 S BROAD ST, PHILADELPHIA, PA 19147-4919
(215) 468-1425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28283
FL
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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