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Individual

DR. ADRIANA S PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
80 W GRAND BLVD STE 111, CORONA, CA 92882-2059
(951) 549-1111
(951) 549-1190
Mailing address
80 W GRAND BLVD STE 111, CORONA, CA 92882-2059
(951) 549-1111
(951) 549-1190

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104451
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104451
DENTIST
CA
Enumeration date
09/24/2019
Last updated
08/25/2021
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