Brightman Dental
Dentist, General Practice in Corona, CA. Organization (NPI-2).
NPI number1629629720
StatusActive
Last updated in NPPESOct 24, 2019
Details
- NPI
- 1629629720
- Entity type
- Organization (NPI-2)
- Legal business name
- Brightman Dental
- Organization subpart
- Yes
- Enumeration date
- Sep 20, 2019
- Last updated
- Oct 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Peter Brightman Dmd, INC (Doing Business As)
Practice location
2083 Compton Ave#204
Corona, CA 92881
Phone 951-735-5588 · Fax 951-735-2968
Mailing address
2083 Compton Ave#204
Corona, CA 92881
Phone 951-735-5588 · Fax 951-735-2968
Authorized official
Peter S. Brightman
Owner
9517355588
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