Provider Demographics
NPI:1346052677
Name:DR. MICHELLE AYOROA-PEREZ LLC
Entity type:Organization
Organization Name:DR. MICHELLE AYOROA-PEREZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOROA-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:240-654-7209
Mailing Address - Street 1:8601 VETERANS HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1571
Mailing Address - Country:US
Mailing Address - Phone:410-987-8800
Mailing Address - Fax:
Practice Address - Street 1:8601 VETERANS HWY STE 101
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1571
Practice Address - Country:US
Practice Address - Phone:410-987-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental