Organization
PEARL SMILE DENTAL PC
Active
Other names
West New York Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHID I KHALID DMD (OWNER)
(201) 866-3000
Entity
Organization
Contact information
Practice address
4900 BERGENLINE AVE, 2ND FLOOR, UNION CITY, NJ 07087-1611
(201) 866-3000
(201) 866-3001
Mailing address
4900 BERGENLINE AVE, 2ND FLOOR, UNION CITY, NJ 07087-1611
(201) 866-3000
(201) 866-3001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02508600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310867
—
NJ
Enumeration date
05/15/2015
Last updated
05/15/2015
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