# BRITE SMILE DENTAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brite Smile Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740659598
- **Authorized official:** JAEWON YOON D.M.D. (PRESIDENT)
- **Authorized official phone:** (703) 368-5885

## Contact information

- **Practice address:** 8577 SUDLEY RD STE B, MANASSAS, VA 20110-3860
- **Practice address phone:** (703) 368-5885
- **Practice address fax:** (703) 368-1852
- **Mailing address:** 8577 SUDLEY RD STE B, MANASSAS, VA 20110-3860
- **Mailing address phone:** (703) 368-5885
- **Mailing address fax:** (703) 368-1852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0401412648 | VA | Yes |

## Other

- **Enumeration date:** 09/23/2015
- **Last updated:** 09/23/2015