Organization
SONRISA BRIGHT DENTAL GROUP #2
Active
Other names
Sonrisas Bright Dental 2
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN CHICCHON DDS (OWNER, DENTIST)
(510) 713-8986
Entity
Organization
Contact information
Practice address
1041 MCKEEVER AVE, HAYWARD, CA 94541-4022
(510) 460-9366
(510) 460-9436
Mailing address
1041 MCKEEVER AVE, HAYWARD, CA 94541-4022
(510) 460-9366
(510) 460-9436
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609060649
NEA
CA
Enumeration date
08/23/2021
Last updated
08/23/2021
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