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Dr. Elliott Gregory Pereira, DDS
Student in an Organized Health Care Education/Training Program in East Palo Alto, California
NPI 1194425728

Elliott Gregory Pereira is a Student in an Organized Health Care Education/Training Program based in Sunnyvale, CA. Elliott Gregory Pereira practices in East Palo Alto, CA and has the professional credentials of DDS. The NPI Number for Elliott Gregory Pereira is 1194425728 and holds a License No. 108425 (California).

The current practice location address for Elliott Gregory Pereira is 1807 Bay Rd, East Palo Alto, CA and can be reached out via phone at 650-289-7700.

Location: 1807 Bay Rd, East Palo Alto, CA, 94089-4728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194425728
Provider Name
Elliott Gregory Pereira
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1807 Bay Rd, East Palo Alto, CA, 94089-4728
Phone Number
650-289-7700
Fax Number
Provider Enumeration Date
03/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1807 Bay Rd
City
East Palo Alto
State
California
Zip
94303-1312
Phone Number
650-289-7700
Fax Number
person
Provider Business Mailing Address Details
Address
1807 Bay Rd
City
East Palo Alto
State
California
Zip
94303-1312
Phone Number
650-289-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
108425 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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