Individual
AMBAR I PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 LUCY ST, BOSTON, MA 02125-2697
(786) 448-3574
Mailing address
4 LUCY ST, BOSTON, MA 02125-2697
(786) 448-3574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000603
MA
Other
Enumeration date
04/01/2024
Last updated
01/24/2025
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