| NPI | 1164728622 |
|---|---|
| Doing Business As | BRIGHTNOW FOUNTAIN VALLEY |
| Entity Type | Organization |
| Authorized Contact | DENNIS R FRATT President 714-428-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |