# BRIGHT SIDE DENTAL TROY

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

## Provider details

- **NPI number:** 1417300765
- **Authorized official:** PEATRIS SABBAGH (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (248) 971-7435

## Contact information

- **Practice address:** 1777 AXTELL DR, STE. 207, TROY, MI 48084-4404
- **Practice address phone:** (248) 649-3116
- **Practice address fax:** (248) 649-6768
- **Mailing address:** 1777 AXTELL DR, STE. 207, TROY, MI 48084-4404
- **Mailing address phone:** (248) 649-3116
- **Mailing address fax:** (248) 649-6768

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2016
- **Last updated:** 07/21/2016