NPI | 1407214570 |
---|---|
Doing Business As | PEARLBRITE DENTAL |
Entity Type | Organization |
Authorized Contact | JOONGSEO KIM Owner/ Doctor 703-281-7011 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401008847) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: VA 0401413569) |
1223P0700X Dentist, Prosthodontics (Licence: MD 12296) | |
Enumeration Date | 2016-02-04 |
Last Update Date | 2016-02-04 |