Provider Demographics
NPI:1912601642
Name:CHAO PEREZ, YUNET DE LA CARIDAD (DMD)
Entity Type:Individual
Prefix:DR
First Name:YUNET
Middle Name:DE LA CARIDAD
Last Name:CHAO PEREZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 PENNSYLVANIA AVE APT 410
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-1282
Mailing Address - Country:US
Mailing Address - Phone:786-574-1939
Mailing Address - Fax:
Practice Address - Street 1:523 WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1622
Practice Address - Country:US
Practice Address - Phone:786-574-1939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029714001223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program