Organization
BRIGHTSIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM GERSHONOWICZ (OWNER)
(586) 247-0010
Entity
Organization
Contact information
Practice address
13750 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
(586) 247-0010
Mailing address
13750 19 MILE RD, STERLING HEIGHTS, MI 48313-2702
(586) 247-0010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11295
MI
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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