Organization
BRILLIANT SMILES DENTAL HYGIENE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ROSOCHACKI (CEO)
(616) 706-1721
Entity
Organization
Contact information
Practice address
4065 E COMMERCE RD, COMMERCE TOWNSHIP, MI 48382-1369
(616) 706-1721
Mailing address
4065 E COMMERCE RD, COMMERCE TOWNSHIP, MI 48382-1369
(616) 706-1721
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016339
MI
Other
Enumeration date
04/12/2015
Last updated
04/12/2015
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