| NPI | 1124816152 |
|---|---|
| Former Legal Business Name | 201 AMERICAS AVENUE PLLC |
| Doing Business As | PEARL DENTAL |
| Entity Type | Organization |
| Authorized Contact | CASIE GARCIA Billing Operations 575-626-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |