Organization
CEDAR PEARL DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S WHITE DMD (SOLE MEMBER)
(316) 323-8745
Entity
Organization
Contact information
Practice address
222 CEDAR AVE, CRESTVIEW, FL 32536-2706
(850) 682-2720
Mailing address
114 WEDGEWOOD CT, CRESTVIEW, FL 32536-8405
(316) 323-8745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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