Provider Demographics
NPI:1285054502
Name:PEARLY WHITES OF PEARLAND FAMILY AND COSMETIC DENTISTRY
Entity type:Organization
Organization Name:PEARLY WHITES OF PEARLAND FAMILY AND COSMETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PAOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:713-436-1046
Mailing Address - Street 1:15178 S. HIGHWAY 288
Mailing Address - Street 2:STE 400
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584
Mailing Address - Country:US
Mailing Address - Phone:713-436-1046
Mailing Address - Fax:
Practice Address - Street 1:15178 S. HIGHWAY 288
Practice Address - Street 2:STE 400
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:713-436-1046
Practice Address - Fax:713-436-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25730122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty