# BRIGHTSIDE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154538569
- **Authorized official:** DR. ABRAHAM GERSHONOWICZ (OWNER)
- **Authorized official phone:** (586) 247-0010

## Contact information

- **Practice address:** 13750 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
- **Practice address phone:** (586) 247-0010
- **Mailing address:** 13750 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
- **Mailing address phone:** (586) 247-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 11295 | MI | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/22/2020
