Organization
BRIGHTSMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A M (OFFICER)
(248) 978-5999
Entity
Organization
Contact information
Practice address
550 EATON ST, RIVER ROUGE, MI 48218-1124
(248) 978-5999
Mailing address
550 EATON ST, RIVER ROUGE, MI 48218-1124
(248) 978-5999
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902014191
MI
Other
Enumeration date
05/14/2009
Last updated
09/01/2010
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