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General NPI Number Information
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NPI Number | 1316664709
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Entity Type | Organization
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Legal Business Name | LUIS A PEREZ DDS MS PC
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 2222 S LINDEN RD STE D
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City | FLINT
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State | MI
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Zip | 48532-5413
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Country | US
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Telephone | 810-230-1311
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Fax | 810-230-1314
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Provider Business Mailing Address
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Address Line | 2222 S LINDEN RD STE D
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City | FLINT
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State | MI
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Zip | 48532-5413
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Country | US
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Telephone | 810-230-1311
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUIS A PEREZ
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Credential | DDS MS PC
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Telephone | 810-230-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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