NPI | 1811394463 |
---|---|
Doing Business As | PEARL FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SPANDANA GOLLA Office Manager 540-841-8999 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411038) |
Enumeration Date | 2014-11-25 |
Last Update Date | 2014-11-25 |