Perez Bode, Rene F

Perez Bode, Rene F is an individual health care provider with primary practice located at 11 Fleetwood Ter , Williamsville NY 74227-4443. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Perez Bode, Rene F can be contacted via phone (716) 632-0114.

Contact Information

Primary practice address
11 Fleetwood Ter Williamsville NY 74227-4443
Phone: (716) 632-0114
Fax: (716) 632-0114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0284781 New York
Dental Providers / Dentist 122300000X DN6102 Florida

Profile Details

NPI number 1326173634
LBN Legal business name Perez Bode, Rene F
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326173634 NPPES
New York MEDICAID 00624777

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