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Organization
PRISTINE PEARLS LLC
Active
Organization
PRISTINE PEARLS LLC
Active
Other names
Pristine Pearls
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BRODY (CREDENTIALING MANAGER)
(312) 471-6555
Entity
Organization
Contact information
Practice address
2407 N MILWAUKEE AVE STE 101, CHICAGO, IL 60647-6859
(312) 471-6555
(312) 471-6554
Mailing address
2407 N MILWAUKEE AVE STE 101, CHICAGO, IL 60647-6859
(312) 471-6555
(312) 471-6554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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