Most Relevant Information
Provider Data
| NPI Number: | 1003685744 |
| Provider Name: | PEARL PAWLAK CDA |
| Entity Type: | Individual |
| Taxonomy Code: | 126800000X |
| Specialty: | Dental Assistant |
| License Number: | 273241 |
Most Important Dates
| Enumeration Date: | 12/21/2023 |
| Last Updated: | 12/21/2023 |
Provider Practice Location
14861 N 173RD DR
SURPRISE
AZ
853887837
Practice Location Phone/Fax
| Phone: | 6023326487 |
| Fax: |
Provider Mailing Location
14861 N 173RD DR
SURPRISE
AZ
853887837
Provider Mailing Phone/Fax
| Phone: | 6023326487 |
| Fax: |