Organization
SMILE PREMIER A DENTAL HYGIENE PRACTICE OF ELIZABETH BRUTUS RDHAP COR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH BRUTUS (CEO)
(909) 648-1985
Entity
Organization
Contact information
Practice address
2623 S ANDREWS LN, SAN BERNARDINO, CA 92408-4191
(909) 648-1985
Mailing address
2623 S ANDREWS LN, SAN BERNARDINO, CA 92408-4191
(909) 648-1985
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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