Individual
ALEXA BRIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18543 E SWAN DR, QUEEN CREEK, AZ 85142-5405
(602) 618-5340
Mailing address
2888 NEWTON PL, PHILOMATH, OR 97370-9213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11885
OR
Other
Enumeration date
08/05/2021
Last updated
01/03/2024
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