Individual
STACEY JANILL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 WARD ST UNIT 513, REVERE, MA 02151-1346
(347) 475-2869
Mailing address
93 WARD ST, REVERE, MA 02151-1335
(978) 532-4903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL101303
MA
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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