| NPI | 1508436262 |
|---|---|
| Doing Business As | BRILLIANCE DENTAL OF ANAHEIM |
| Entity Type | Organization |
| Authorized Contact | LEANN HIDALGO Manager 657-254-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2023-11-18 |