Organization
BRIGHTEN DENTAL CARE INC
Active
Other names
Brighten Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDER GUPTA DDS (PRESIDENT)
(954) 922-4633
Entity
Organization
Contact information
Practice address
129 E DANIA BEACH BLVD, DANIA BEACH, FL 33004-3032
(954) 922-4633
Mailing address
129 E DANIA BEACH BLVD, DANIA BEACH, FL 33004-3032
(954) 922-4633
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN10515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0777889-00
—
FL
Enumeration date
05/25/2015
Last updated
05/25/2015
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