Provider Demographics
NPI:1841338530
Name:PEARA, DONALD EPHRAIM (DDS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EPHRAIM
Last Name:PEARA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:550 W 26TH STREET
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-2837
Mailing Address - Country:US
Mailing Address - Phone:209-723-0767
Mailing Address - Fax:209-723-1270
Practice Address - Street 1:550 W 26TH STREET
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-2837
Practice Address - Country:US
Practice Address - Phone:209-723-0767
Practice Address - Fax:209-723-1270
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15274204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery