Organization
BRILLIANT SMILES DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY PETERSON DDS (OWNER)
(801) 471-8141
Entity
Organization
Contact information
Practice address
5425 E BELL RD STE 143, SCOTTSDALE, AZ 85254-6010
(602) 953-1850
Mailing address
5425 E BELL RD STE 143, SCOTTSDALE, AZ 85254-6010
(602) 953-1850
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
08/29/2023
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