Organization
BRITEVIEW DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS DE LEON (ASSISTANT MANAGER)
(575) 208-2380
Entity
Organization
Contact information
Practice address
4511 N MAIN ST STE B, ROSWELL, NM 88201-0309
(575) 208-2380
(575) 218-7537
Mailing address
4511 N MAIN ST STE B, ROSWELL, NM 88201-0309
(575) 208-2380
(575) 218-7537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/28/2023
Last updated
10/24/2023
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