Organization
PEARSON DENTAL SERVICES, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY PEARSON DMD (MANAGER)
(602) 574-2696
Entity
Organization
Contact information
Practice address
4244 N 19TH AVE, PHOENIX, AZ 85015-5108
(602) 574-2696
Mailing address
1605 E GOLD DUST AVE, PHOENIX, AZ 85020-1934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5104
AZ
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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