# RMD PEARL DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891554739
- **Authorized official:** DR. RISHA DE LEON (MEMBER)
- **Authorized official phone:** (413) 835-5206

## Contact information

- **Practice address:** 868 CHURCH ST STE 1, BOHEMIA, NY 11716-5021
- **Practice address phone:** (413) 835-5206
- **Mailing address:** 59 LANIER LN, BAY SHORE, NY 11706-7835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 03/14/2024