Provider Demographics
NPI:1003030032
Name:DR. CHRISTOPHER N. PEREZ, P.C.
Entity type:Organization
Organization Name:DR. CHRISTOPHER N. PEREZ, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-629-4097
Mailing Address - Street 1:810 REKDAL RD
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-8852
Mailing Address - Country:US
Mailing Address - Phone:360-629-4097
Mailing Address - Fax:360-629-3906
Practice Address - Street 1:810 REKDAL RD
Practice Address - Street 2:
Practice Address - City:CAMANO ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98282-8852
Practice Address - Country:US
Practice Address - Phone:360-629-4097
Practice Address - Fax:360-629-3906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA88151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty