Individual
DR. JOSE RAFAEL PEREZ-IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
207 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2585
(678) 628-4626
Mailing address
207 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2585
(678) 628-4626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12118
GA
Other
Enumeration date
09/12/2006
Last updated
01/26/2017
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