Jorge Emilio Peralta Gonzalez, DMD

NPI #1649021296 in Roxbury, Massachusetts

Provider Information

NPI Number: 1649021296
Entity Type: Individual
Name: Jorge Emilio Peralta Gonzalez, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 1, 2024
Last Updated: Feb 25, 2025

Practice Location

Address: 16 TABER ST UNIT 304
City: Roxbury
State: Massachusetts
ZIP Code: 02119-4231
Phone: (914) 572-1195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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