Individual
DR. DINA L PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6095 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3818
(757) 424-1976
(757) 424-3152
Mailing address
6095 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3818
(757) 424-1976
(757) 424-3152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007091
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079306
ANTHEM BCBS
VA
Enumeration date
07/31/2006
Last updated
07/08/2007
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