Peres Dental Clinic

NPI #1306274147 in Richmond, California

Provider Information

NPI Number: 1306274147
Entity Type: Organization
Organization Name: Peres Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 14, 2013
Last Updated: Oct 14, 2013

Practice Location

Address: 719 5TH ST
City: Richmond
State: California
ZIP Code: 94801-2654
Phone: (510) 231-1407

Authorized Official

Name: JAWAN ELDRIDGE
Title: PRINCIPAL
Phone: (510) 231-1407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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