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Individual

DR. BRITTANY KY EIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S., FACS

Contact information

Practice address
6255 GRAND RIVER RD, BRIGHTON, MI 48114-5323
(810) 522-4001
Mailing address
6255 GRAND RIVER RD, BRIGHTON, MI 48114-5323
(810) 522-4001

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1401417771
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901600731
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
34699
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS039560
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901600731
MI

Other

Enumeration date
06/29/2013
Last updated
01/05/2023
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