| NPI | 1659771079 |
|---|---|
| Doing Business As | BRILLIANT TOOTH DENTIST |
| Entity Type | Organization |
| Authorized Contact | PRADEEP P BEKAL Dentist 937-286-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30-021117) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |