BRIGHTSIDE ORAL SURGERY LLC

ROY, UT
NPI1083569396
Entity TypeOrganization
Authorized ContactEBONIE GONZALES
Credentialing Manager
505-850-3769
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
Enumeration Date2026-03-02
Last Update Date2026-03-02
Business Address
BRIGHTSIDE ORAL SURGERY LLC
5682 S 3500 W UNIT A
ROY, UT 84067-9108
Phone number: 801-773-9828
Mailing Address
BRIGHTSIDE ORAL SURGERY LLC
5682 S 3500 W UNIT A
ROY, UT 84067-9108
Phone number: 801-773-9828