BRIGHTSIDE ORAL SURGERY LLC

SYRACUSE, UT
NPI1144163833
Entity TypeOrganization
Authorized ContactEBONIE GONZALES
Credentialing Manager
505-850-3769
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
Enumeration Date2026-04-09
Last Update Date2026-04-09
Business Address
BRIGHTSIDE ORAL SURGERY LLC
1562 S 3000 W STE 100
SYRACUSE, UT 84075-2003
Phone number: 801-773-8644
Mailing Address
BRIGHTSIDE ORAL SURGERY LLC
1562 S 3000 W STE 100
SYRACUSE, UT 84075-2003
Phone number: 801-773-8644