Provider Demographics
NPI:1801823448
Name:PEREZ, RAMON (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1166 N. YARBROUGH DRIVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925
Mailing Address - Country:US
Mailing Address - Phone:915-595-2239
Mailing Address - Fax:915-595-2583
Practice Address - Street 1:1166 N. YARBROUGH DRIVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925
Practice Address - Country:US
Practice Address - Phone:915-595-2239
Practice Address - Fax:915-595-2583
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD2647122300000X
TX27391122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist