Organization
PEDIATRIC DENTAL CARE
Active
Other names
Pediatric Dental Care of Berks County
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRECIOSA PEREZ DDS (OWNER)
(610) 375-3844
Entity
Organization
Contact information
Practice address
344 N WYOMISSING BLVD, WYOMISSING, PA 19610-2936
(610) 375-3844
Mailing address
344 N WYOMISSING BLVD, WYOMISSING, PA 19610-2936
(610) 375-3844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS031182L
PA
1223P0221X
Pediatric Dentistry
Primary
DS035069
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001781306-0009
—
PA
05
—
001883048-0002
—
PA
Enumeration date
03/10/2011
Last updated
03/10/2011
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