DR. Juan Alberto Peralta, D.D.S.

NPI #1528135696 in Corona, New York

Provider Information

NPI Number
1528135696
Entity Type
Individual
Name
DR. Juan Alberto Peralta, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 30, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
3730 103RD ST
Address 2
SUITE C1
City
Corona
ZIP Code
11368-1900
Phone
(718) 426-0820

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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