| NPI | 1699416024 |
|---|---|
| Doing Business As | BRILLIANCE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JANE HAMMOND Insurance Administrator 404-277-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |