Organization
BRIGHTSIDE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN DANSIE DMD (PRESIDENT)
(208) 745-1911
Entity
Organization
Contact information
Practice address
302 N 3823 E, RIGBY, ID 83442-5723
(208) 745-1911
(208) 745-8566
Mailing address
302 N 3823 E, RIGBY, ID 83442-5723
(208) 745-1911
(208) 745-8566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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