Individual
DR. JANICE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
5381 N SOCRUM LOOP RD, STE 8, LAKELAND, FL 33809-4272
(863) 937-0190
Mailing address
5381 N SOCRUM LOOP RD, STE 8, LAKELAND, FL 33809-4272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02838791
MMIS
NY
Enumeration date
02/04/2008
Last updated
04/14/2011
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