Organization
BRITE SMILES OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY ANNA GIDLOF RDHAP (MOBILE DENTAL HYGIENIST)
(760) 625-3708
Entity
Organization
Contact information
Practice address
152 VIA SAN NICOLO, PALM DESERT, CA 92260-1803
(760) 625-3708
Mailing address
152 VIA SAN NICOLO, PALM DESERT, CA 92260-1803
(760) 625-3708
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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