Provider Demographics
NPI:1689810665
Name:AARON M. PEREZ, DDS, INC.
Entity Type:Organization
Organization Name:AARON M. PEREZ, DDS, INC.
Other - Org Name:CASA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:MARCO
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-735-3000
Mailing Address - Street 1:727 E. OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:ESCANDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025
Mailing Address - Country:US
Mailing Address - Phone:760-735-3000
Mailing Address - Fax:760-735-3002
Practice Address - Street 1:727 E. OHIO AVE
Practice Address - Street 2:
Practice Address - City:ESCANDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-735-3000
Practice Address - Fax:760-735-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39734122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty