Provider Demographics
NPI:1578638540
Name:PEREZ, NORYS (DMD)
Entity type:Individual
Prefix:DR
First Name:NORYS
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103400 OVERSEAS HWY
Mailing Address - Street 2:SUITE #234
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2834
Mailing Address - Country:US
Mailing Address - Phone:305-453-9105
Mailing Address - Fax:305-453-1581
Practice Address - Street 1:103400 OVERSEAS HWY
Practice Address - Street 2:SUITE #234
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2834
Practice Address - Country:US
Practice Address - Phone:305-453-9105
Practice Address - Fax:305-453-1581
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN171441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice