Provider Demographics
NPI:1033154877
Name:PEREZ, ISABEL CRISTINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:CRISTINA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19020 BOTHELL WAY NE
Mailing Address - Street 2:C
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2996
Mailing Address - Country:US
Mailing Address - Phone:425-481-5302
Mailing Address - Fax:425-482-9639
Practice Address - Street 1:19020 BOTHELL WAY NE
Practice Address - Street 2:C
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-2996
Practice Address - Country:US
Practice Address - Phone:425-481-5302
Practice Address - Fax:425-482-9639
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WADE95791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice