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1528135696
JUAN ALBERTO PERALTA
CORONA, NY
NPI
1528135696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 041315-1)
Enumeration Date
2006-11-30
Last Update Date
2007-07-09
Business Address
Dr. JUAN ALBERTO PERALTA D.D.S.
3730 103RD ST SUITE C1
CORONA, NY 11368-1900
Phone number: 718-426-0820
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Mailing Address
Dr. JUAN ALBERTO PERALTA D.D.S.
3730 103RD ST SUITE C1
CORONA, NY 11368-1900
Phone number: 718-426-0820
Copy
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