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Individual

MR. MIGUEL ANGEL PEREZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4431 68TH ST, US ARMY DENTAL ACTIVITY, FORT HOOD, TX 76544-5042
(254) 286-7401
Mailing address
4431 68TH ST, US ARMY DENTAL ACTIVITY, FORT HOOD, TX 76544-5042
(254) 286-7401

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
351819323
NY

Other

Enumeration date
06/07/2016
Last updated
06/07/2016
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