| NPI | 1295001501 | 
|---|---|
| Doing Business As | PEARLY WHITES OF EUGENE | 
| Entity Type | Organization | 
| Authorized Contact | JOSEPHINE LYNNE STOKES Owner 541-686-3003 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: D8117) | 
| Enumeration Date | 2012-03-30 | 
| Last Update Date | 2012-03-30 |