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Organization

BRIGHTSIDE ORTHODONTICS FLORENCE, LLC

Active
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Organization

BRIGHTSIDE ORTHODONTICS FLORENCE, LLC

Active
Other names
Brightside Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIVEK PATEL DMD (OWNER)
(847) 997-7852
Entity
Organization

Contact information

Practice address
615 W PALMETTO ST, FLORENCE, SC 29501-4301
(843) 665-4951
Mailing address
615 W PALMETTO ST, FLORENCE, SC 29501-4301
(843) 665-4951

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164976718
NPI
—
01
—
1689756744
NPI
SC
Enumeration date
05/04/2021
Last updated
05/04/2021
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