| Pearl Dental Clinic | |
|
5402 Broadway Blvd Garland TX 75043-3637 | |
| (972) 303-3600 | |
| (972) 303-3607 |
| Full Name | Pearl Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 5402 Broadway Blvd, Garland, Texas |
| Authorized Official Name and Position | Mahdi G Dezham (PRESIDENT) |
| Authorized Official Contact | 9723033600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Dental Clinic 5402 Broadway Blvd Garland TX 75043-3637 Ph: (972) 303-3600 | Pearl Dental Clinic 5402 Broadway Blvd Garland TX 75043-3637 Ph: (972) 303-3600 |
| NPI Number | 1306024948 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306024948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19596 (Texas) | Primary |
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