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NPI Code Detail

MEDICARE: ALISON PEREZ DDS

MEDICARE: ALISON PEREZ DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDDS102779CA

General Provider Information

NPI Number : 1437637527
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON PEREZ DDS
Provider Business Mailing Address
First Line : 6940 BENEVENTO PL
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91701-8602
Country : US
Telephone Number : 909-684-9173
Fax Number :
Provider Business Practice Location Address
First Line : 250 S G ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92410-3320
Country : US
Telephone Number : 909-382-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2018
Last Update Date : 03/09/2023

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