| Pearl Shine Dental Llc | |
|
205 S Randall Rd Algonquin IL 60102-9781 | |
| (224) 278-8282 | |
| (224) 278-8080 |
| Full Name | Pearl Shine Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 205 S Randall Rd, Algonquin, Illinois |
| Authorized Official Name and Position | Umapriya Sannapareddy (DENTIST) |
| Authorized Official Contact | 7737897717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Shine Dental Llc 205 S Randall Rd Algonquin IL 60102-9781 Ph: (224) 278-8282 | Pearl Shine Dental Llc 205 S Randall Rd Algonquin IL 60102-9781 Ph: (224) 278-8282 |
| NPI Number | 1124477013 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 08/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124477013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019029433 (Illinois) | Primary |
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