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Organization

BRITE DENTAL CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REZA BAHARLOO D.D.S. (OWNER)
(281) 872-9696
Entity
Organization

Contact information

Practice address
15002 ELLA BLVD, SUITE 42, HOUSTON, TX 77090-5621
(281) 872-9696
(281) 872-9699
Mailing address
15002 ELLA BLVD, SUITE 42, HOUSTON, TX 77090-5621
(281) 872-9696
(281) 872-9699

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135076110
TX
Enumeration date
02/15/2012
Last updated
02/15/2012
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