| NPI | 1245889724 |
|---|---|
| Doing Business As | BRIGHT AVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICARDO SUAREZ Owner / Dentist 323-363-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2019-09-08 |