Dr. Evelyn Pereda, DMD
Dentist in Dallas, TX. Individual provider (NPI-1).
NPI number1528684792
StatusActive
Last updated in NPPESMay 1, 2023
Details
- NPI
- 1528684792
- Entity type
- Individual (NPI-1)
- Name
- Dr. Evelyn Pereda
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2020
- Certification date
- May 1, 2023
- Last updated
- May 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 39195 | TX | Yes |
| 122300000X | Dentist | DN24974 | FL |
Practice location
6243 Retail Rd Ste 100Dallas, TX 75231-7845
Phone 214-368-3384
Mailing address
12770 Merit Dr Ste 850Dallas, TX 75251-1438
Phone 972-361-0600
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