Pearl Dentistry PC

NPI #1154581056 in Caldwell, Idaho

Provider Information

NPI Number
1154581056
Entity Type
Organization
Organization Name
Pearl Dentistry PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 13, 2008
Last Updated
Dec 10, 2012

Practice Location

Address
4012 BRIAN AVE
State
Idaho
ZIP Code
83605-6305
Phone
(208) 459-4312

Authorized Official

Name
SPENCER LLOYD, D.M.D.
Title
PRESIDENT
Phone
(208) 459-4312

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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