| NPI | 1174804058 |
|---|---|
| Doing Business As | PEARLY WHITE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HALEIGH STIDHAM BLACKWELL President 205-970-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 5852) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2014-08-08 |