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DR. PEDRO JUAN PEREZ DMD
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1497088983
Individual Registrant:DR. PEDRO JUAN PEREZ DMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1430 SUGGS ST ROSSVILLE, GA 30741-2223 US
Tel: 706-657-7575 Fax: 706-866-5512
Tel: 706-657-7575 Fax: 706-866-5512
Contact information for business:
1430 SUGGS ST ROSSVILLE, GA 30741-2223 US
Tel: 706-657-7575 Fax: 706-866-5512
Tel: 706-657-7575 Fax: 706-866-5512
Registration Information:
NPI: 1497088983
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | GA | DN013967 |
| N | 122300000X | Dental Providers Dentist | PA | DS038007 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
