| NPI | 1215772694 |
|---|---|
| Doing Business As | PEARLY WHITES DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JORDAN HEISS Dentist/CEO 516-425-2857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-07-11 |