Organization
RMD PEARL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RISHA DE LEON (MEMBER)
(413) 835-5206
Entity
Organization
Contact information
Practice address
868 CHURCH ST STE 1, BOHEMIA, NY 11716-5021
(413) 835-5206
Mailing address
59 LANIER LN, BAY SHORE, NY 11706-7835
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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