Organization
ULTRA BRITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HAYES (CEO)
(404) 936-8418
Entity
Organization
Contact information
Practice address
4531 MOSSEY DR, LITHONIA, GA 30038-7724
(404) 936-8418
Mailing address
4531 MOSSEY DR, LITHONIA, GA 30038-7724
(404) 936-8418
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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