Organization Name: | BRIGHTEN DENTAL CARE INC |
NPI Number: | 1942689831 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHANDER GUPTA (PRESIDENT) |
Mailing Address: | 129 E Dania Beach Blvd Dania Beach |
State: | FL US |
Postal Code: | 330043032 |
Phone Number: | 9549224633 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2015 |
NPI Last Update Date: | 05/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | DN10515 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |