Bright Choice Dental PLLC
Clinic/Center, Dental in Dearborn, MI. Organization (NPI-2).
NPI number1568043545
StatusActive
Last updated in NPPESMay 18, 2021
Details
- NPI
- 1568043545
- Entity type
- Organization (NPI-2)
- Legal business name
- Bright Choice Dental PLLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2021
- Certification date
- May 14, 2021
- Last updated
- May 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
| 122300000X | Dentist | – | – | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – |
Practice location
520 N Telegraph RdDearborn, MI 48128-1658
Phone 313-982-7200
Mailing address
520 N Telegraph RdDearborn, MI 48128-1658
Authorized official
Alex Awwad
Manager
3139827200
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All 24 Dental Clinic/Center providers in Dearborn · All 7,276 providers in Dearborn
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