NPI 1003685744

Pearl Pawlak, CDA

Practitioner Dental Assistant Surprise, AZ

Practice location

Address: 14861 N 173rd Dr, Surprise, AZ 85388-7837
Phone: (602) 332-6487

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 273241 (AZ)

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Registry record

NPI: 1003685744
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2023
Record last updated: 21 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.