Pearl Dentistry Of Moon, PLLC
Clinic/Center, Dental in Coraopolis, PA. Organization (NPI-2).
NPI number1831900562
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1831900562
- Entity type
- Organization (NPI-2)
- Legal business name
- Pearl Dentistry Of Moon, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2025
- Certification date
- Jan 13, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
934 Beaver Grade RdCoraopolis, PA 15108-2716
Phone 412-264-1888
Mailing address
121 Lyndhurst CirWexford, PA 15090-8870
Authorized official
Matthew L Weiss
Owner/Dentist
3047712374
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