Individual
PRECIOSA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
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
1223P0221X
Pediatric Dentistry
Primary
DS035069
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001883048-0001
—
PA
05
—
001883048-0002
—
PA
Enumeration date
05/16/2007
Last updated
03/24/2016
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