Individual
LISELOTT PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4800 ALPINE PL, STE 1, LAS VEGAS, NV 89107-4084
(702) 870-6362
(702) 870-6399
Mailing address
4800 ALPINE PL, STE 1, LAS VEGAS, NV 89107-4084
(702) 870-6362
(702) 870-6399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4308
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002202200
—
NV
Enumeration date
07/07/2006
Last updated
02/14/2013
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