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1811009855
PEARLY WHITES DENTAL OFFICE, INC.
RIO RANCHO, NM
NPI
1811009855
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Entity Type
Organization
Authorized Contact
SHIRLEY ANN PROFAZI
Owner
505-891-1500
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM DD1948)
Enumeration Date
2006-08-31
Last Update Date
2020-08-22
Business Address
PEARLY WHITES DENTAL OFFICE, INC.
4041 BARBARA LOOP SE SUITE A
RIO RANCHO, NM 87124-1065
Phone number: 505-891-1500
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Mailing Address
PEARLY WHITES DENTAL OFFICE, INC.
PO BOX 15256
RIO RANCHO, NM 87174-0256
Phone number: 505-891-1500
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