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General NPI Number Information
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NPI Number | 1376450056
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Entity Type | Organization
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Legal Business Name | PRETTY PEARLS PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 12100 ANNAPOLIS RD UNIT A-1
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City | GLENN DALE
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State | MD
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Zip | 20769-9179
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Country | US
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Telephone | 240-602-6145
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Fax |
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Provider Business Mailing Address
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Address Line | 229 WASHINGTON BLVD S
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City | LAUREL
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State | MD
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Zip | 20707-4615
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Country | US
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Telephone | 240-602-6145
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER/CEO
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Name | DR. KRISTINE OLADAYO OLADIPO
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Credential | DDS, MS,FICD
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Telephone | 240-602-6145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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