| NPI | 1073676466 |
|---|---|
| Doing Business As | BRILLIANT SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID WHITE Vice President 517-263-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016709) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-04-15 |