Organization
BRILLIANT DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD PHILIP BRILLIANT DDS (PRESIDENT)
(760) 789-2882
Entity
Organization
Contact information
Practice address
23676 SAN VICENTE RD, RAMONA, CA 92065-4245
(760) 789-2882
Mailing address
23676 SAN VICENTE RD, RAMONA, CA 92065-4245
(760) 789-2882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59733
CA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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