Perez, Mark Richard
Perez, Mark Richard is an individual health care provider with primary practice located at 11503 Sunrise Valley Dr , Reston VA 20191. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Perez, Mark Richard can be contacted via phone (703) 860-3200.Contact Information
Primary practice address
11503 Sunrise Valley Dr
Reston VA 20191
Phone: (703) 860-3200
Fax: (703) 476-6794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401008179 | Virginia |
Profile Details
| NPI number | 1922181742 |
|---|---|
| LBN Legal business name | Perez, Mark Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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