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Organization
BRIGHT CHOICE DENTAL PLLC
Active
Organization
BRIGHT CHOICE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX AWWAD (MANAGER)
(313) 982-7200
Entity
Organization
Contact information
Practice address
520 N TELEGRAPH RD, DEARBORN, MI 48128-1658
(313) 982-7200
Mailing address
520 N TELEGRAPH RD, DEARBORN, MI 48128-1658
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
05/18/2021
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