Brightsmiles

NPI 1083848311 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1083848311
Enumeration Date 05/14/2009
Last Updated 09/01/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name A A
Position OFFICER
Phone (248) 978-5999
Fax
Practice Location
550 EATON ST
RIVER ROUGE MI, 48218-1124, US
Phone (248) 978-5999
Fax
Business Location
550 EATON ST
RIVER ROUGE MI, 48218-1124, US
Phone (248) 978-5999
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Michigan
License Number 2902014191
Remove 1083848311 NPI Number
 

According to our database, Brightsmiles NPI is 1083848311, taxonomy code is 124Q00000X and license number is 2902014191, license state is located at Michigan. Brightsmiles physically located at 550 Eaton St, River Rouge MI, 48218-1124. NPI Number 1033115704 has the healthcare provider type.

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1083848311 NPI number is provided on an as is basis without warranty of any kind. 1083848311 is maintained by the National Plan & Provider Enumeration System. The contents of Brightsmiles are for informational purposes only.