| Pearlbrite Dental Inc | |
|
6180 Grovedale Ct Ste 100 Alexandria VA 22310-2552 | |
| (703) 922-0031 | |
| (703) 922-9101 |
| Full Name | Pearlbrite Dental Inc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 6180 Grovedale Ct Ste 100, Alexandria, Virginia |
| Authorized Official Name and Position | Joongseo Kim (OWNER) |
| Authorized Official Contact | 7039220031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearlbrite Dental Inc 6180 Grovedale Ct Ste 100 Alexandria VA 22310-2552 Ph: (703) 922-0031 | Pearlbrite Dental Inc 6180 Grovedale Ct Ste 100 Alexandria VA 22310-2552 Ph: (703) 922-0031 |
| NPI Number | 1902345796 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902345796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008847 (Virginia) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 0401008847 (Virginia) | Primary |
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