Individual
DR. PAUL PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
4209 BRYAN AVE NW, ALBUQUERQUE, NM 87114-5475
(505) 890-0426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1164
NM
Other
Enumeration date
04/28/2006
Last updated
07/20/2011
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