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1316613607
BRIGHTSIDE DENTAL, LLC
INDEPENDENCE, MO
NPI
1316613607
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Entity Type
Organization
Authorized Contact
BRANDY LOPEZ
Vice President Of Operations
970-596-8085
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-08-18
Last Update Date
2021-09-13
Business Address
BRIGHTSIDE DENTAL, LLC
4731 S COCHISE DR STE 110
INDEPENDENCE, MO 64055-6975
Phone number: 970-901-9865
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Mailing Address
BRIGHTSIDE DENTAL, LLC
7900 COLLEGE BLVD STE 131
OVERLAND PARK, KS 66210-2194
Phone number: 970-596-8085
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