| Pearly White LLC | |
|
603 N Story Pkwy Milwaukee WI 53208-3623 | |
| (414) 336-2280 | |
| Not Available |
| Full Name | Pearly White LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 603 N Story Pkwy, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Melissa Scheper (HYGIENIST) |
| Authorized Official Contact | 4143362280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearly White LLC 603 N Story Pkwy Milwaukee WI 53208-3623 | Pearly White LLC 603 N Story Pkwy Milwaukee WI 53208-3623 Ph: (414) 336-2280 |
| NPI Number | 1902516115 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902516115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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