Organization
BRIGHTWHITES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIGITTE WHITE ZIVKOVIC DMD (PRESIDENT)
(703) 719-6158
Entity
Organization
Contact information
Practice address
6214 OLD FRANCONIA RD STE A, ALEXANDRIA, VA 22310-3400
(703) 719-6158
Mailing address
6101 CALICO POOL LN, BURKE, VA 22015-3704
(703) 508-2188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412187
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205026283
GENERAL DENTIST
DC
Enumeration date
06/15/2017
Last updated
06/15/2017
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