BRIGHTSIDE ORAL SURGERY LLC

STANSBURY PARK, UT
NPI1952244642
Entity TypeOrganization
Authorized ContactEBONIE GONZALES
Credentialing Manager
505-850-3769
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
Enumeration Date2026-04-09
Last Update Date2026-04-09
Business Address
BRIGHTSIDE ORAL SURGERY LLC
5136 N CAMBRIDGE WAY
STANSBURY PARK, UT 84074-8279
Phone number: 801-773-8644
Mailing Address
BRIGHTSIDE ORAL SURGERY LLC
5136 N CAMBRIDGE WAY
STANSBURY PARK, UT 84074-8279
Phone number: 801-773-8644