Organization
AO OF BRIGHTON PLLC
Active
Other names
MyFastbraces
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD JOSEPH SABOURIN DDS (OWNER/DENTIST)
(989) 792-8315
Entity
Organization
Contact information
Practice address
8273 GRAND RIVER RD, BRIGHTON, MI 48114
(989) 792-8315
Mailing address
3456 SHATTUCK RD STE 3, SAGINAW, MI 48603-7013
(989) 792-8315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18261
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154396968
NPI
—
Enumeration date
05/10/2018
Last updated
05/30/2018
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