Individual provider · Type 1 NPI

Elliott Gregory Pereira, DDS

Student in an Organized Health Care Education/Training Program · East Palo Alto, CA

NPI number 1194425728 Active

Practice location

1807 Bay Rd
East Palo Alto, CA 94303-1312

Call (650) 289-7700 Map

Mailing address

514 Porpoise Bay Ter Apt E
Sunnyvale, CA 94089-4728

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X108425 (CA)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1194425728

Elliott Gregory Pereira, DDS's National Provider Identifier is 1194425728, issued on Mar 2, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Palo Alto, CA. The record was last updated on Mar 2, 2023.