Perez, Edna

Perez, Edna is an individual health care provider with primary practice located at 1600 Sw Archer Road Department Of Pediatric Dentistry College Of Dentistry, University Of Florida, Gainesville FL 32610-0426. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Perez, Edna can be contacted via phone (352) 273-7631.

Contact Information

Primary practice address
1600 Sw Archer Road Department Of Pediatric Dentistry College Of Dentistry, University Of Florida Gainesville FL 32610-0426
Phone: (352) 273-7631
Fax: (352) 273-6765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN18234 Florida

Profile Details

NPI number 1962536714
LBN Legal business name Perez, Edna
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Feb 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962536714 NPPES
Florida MEDICAID 003106100

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