NPI | 1679388367 |
---|---|
Doing Business As | PEARL: AESTHETICS & DENTISTRY |
Entity Type | Organization |
Authorized Contact | COLBY J GERTH CEO/Dentist 217-663-2384 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-02-10 |
Last Update Date | 2025-02-10 |