Organization
BRILLIANT DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN MOSSAEI (PRESIDENT)
(661) 369-8910
Entity
Organization
Contact information
Practice address
2701 MING AVE SPC 221, BAKERSFIELD, CA 93304-4441
(661) 369-8910
(661) 369-8914
Mailing address
2701 MING AVE SPC 221, BAKERSFIELD, CA 93304-4441
(661) 369-8910
(661) 369-8914
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59083
CA
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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