| NPI | 1033860341 |
|---|---|
| Doing Business As | PEARL DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANGELA F LAIACONO Front Desk 502-451-2212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |