Organization
BRITE SMILES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENAE DAWN BLOME RDH (EXECUTIVE DIRECTOR)
(507) 475-0628
Entity
Organization
Contact information
Practice address
320 3RD ST NW, FARIBAULT, MN 55021-5195
(507) 475-0628
(507) 446-1098
Mailing address
4366 270TH ST E, PO BOX 237, MEDFORD, MN 55049-8001
(507) 475-0628
(507) 446-1098
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6616
MN
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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