| NPI | 1235862889 |
|---|---|
| Doing Business As | BRILLIANT SMILES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUFFIYAH WEBB Owner Pediatric Dentist 862-955-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |