| NPI | 1639370380 |
|---|---|
| Doing Business As | BRILLIANCE DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL J GOMES Administrator 917-951-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 046446) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |