| NPI | 1467176073 |
|---|---|
| Doing Business As | BRITE SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ABDIEL URIEL MARQUEZ LOPEZ Dentist 619-272-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |