| NPI | 1760877856 |
|---|---|
| Former Name | KARLA PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NJ 06993) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22D102627400) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 060264-01) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-08-04 |