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Contact Information

LEONEL PEREZ JR, D.D.S, M.D., F.A.C.S
7617 LITTLE RIVER TPKE STE 900
ANNANDALE, VA22003-2618
 Phone: 703-936-6319
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
 

Medical Specialty

261QM2500X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for

NPI Number 1669638185
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/04/2008
Last updated 11/15/2023 - About 3 years ago
Identifiers
MD License # D0090703
TX License # 24131
VA License # 0101277440
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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