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Organization
PEARLY WHITE DENTAL, INC.
Active
Organization
PEARLY WHITE DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEYLEEN IZQUIERDO DMD (OWNER DENTIST)
(954) 787-6453
Entity
Organization
Contact information
Practice address
17180 ROYAL PALM BLVD STE 4, WESTON, FL 33326-2394
(954) 787-6453
Mailing address
17180 ROYAL PALM BLVD STE 4, WESTON, FL 33326-2394
(954) 787-6453
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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