| NPI | 1326413402 |
|---|---|
| Doing Business As | PEARLY WHITES |
| Entity Type | Organization |
| Authorized Contact | KATE RODRIGUES Billing Coordinator 973-578-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2020-02-25 |