Provider Demographics
NPI:1831402064
Name:PEREZ, LILIANA (DMD)
Entity type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 40TH AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-2467
Mailing Address - Country:US
Mailing Address - Phone:772-569-9781
Mailing Address - Fax:772-569-9912
Practice Address - Street 1:2050 40TH AVE STE 6
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-2467
Practice Address - Country:US
Practice Address - Phone:772-569-9781
Practice Address - Fax:772-569-9912
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN19163122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist