| NPI | 1609205525 |
|---|---|
| Doing Business As | PEARL STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELLIOTT B HIGGINS President 303-443-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |