PEARLY WHITES DENTAL OFFICE, INC.

RIO RANCHO, NM
NPI1811009855
Entity TypeOrganization
Authorized ContactSHIRLEY ANN PROFAZI
Owner
505-891-1500
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD1948)
Enumeration Date2006-08-31
Last Update Date2020-08-22
Business Address
PEARLY WHITES DENTAL OFFICE, INC.
4041 BARBARA LOOP SE SUITE A
RIO RANCHO, NM 87124-1065
Phone number: 505-891-1500
Mailing Address
PEARLY WHITES DENTAL OFFICE, INC.
PO BOX 15256
RIO RANCHO, NM 87174-0256
Phone number: 505-891-1500
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