Organization
BRIGHTER IMAGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LE TRAN DDS (OWNER)
(949) 361-6900
Entity
Organization
Contact information
Practice address
1031 AVENIDA PICO, #203, SAN CLEMENTE, CA 92673-6352
(949) 361-6900
(949) 361-3779
Mailing address
1031 AVENIDA PICO STE 203, SAN CLEMENTE, CA 92673-6356
(949) 361-6900
(949) 361-3779
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48051
CA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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