| NPI | 1457027013 |
|---|---|
| Doing Business As | PEARL PALM BEACH |
| Entity Type | Organization |
| Authorized Contact | ASHLEY DOLBERRY President 214-450-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |