Organization
FIRST DENTAL MANAGEMENT CORPORATION
Active
Other names
Brilliant Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WHITE (VICE PRESIDENT)
(517) 263-3400
Entity
Organization
Contact information
Practice address
113 W FRONT ST, ADRIAN, MI 49221-2072
(517) 263-3400
(517) 263-4027
Mailing address
113 W FRONT ST, ADRIAN, MI 49221-2072
(517) 263-3400
(517) 263-4027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016709
MI
Other
Enumeration date
12/18/2006
Last updated
04/15/2008
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