Organization
BRITE SMILE DENTAL GROUP PC
Active
Other names
Brite Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAEWON YOON D.M.D. (PRESIDENT)
(703) 368-5885
Entity
Organization
Contact information
Practice address
8577 SUDLEY RD STE B, MANASSAS, VA 20110-3860
(703) 368-5885
(703) 368-1852
Mailing address
8577 SUDLEY RD STE B, MANASSAS, VA 20110-3860
(703) 368-5885
(703) 368-1852
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412648
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026866600
—
MD
Enumeration date
09/23/2015
Last updated
09/23/2015
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