| Bright Dental Care | |
|
320 Bristol St Suite H Costa Mesa CA 92626-7946 | |
| (714) 546-7595 | |
| (714) 546-7597 |
| Full Name | Bright Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 320 Bristol St, Costa Mesa, California |
| Authorized Official Name and Position | Koroush Bassiri (CEO) |
| Authorized Official Contact | 7145467595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Dental Care 320 Bristol St Suite H Costa Mesa CA 92626-7946 Ph: (714) 546-7595 | Bright Dental Care 320 Bristol St Suite H Costa Mesa CA 92626-7946 Ph: (714) 546-7595 |
| NPI Number | 1982806089 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567868110 |
|---|---|
| Medicare Enrollment ID | O20210907001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982806089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43754 (California) | Primary |
| Provider Name | Koroush Bassiri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831231455 PECOS PAC ID: 7911303565 Enrollment ID: I20220503000673 |
Michael Ayzin Dds Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Bristol St Ste 120, Costa Mesa, CA 92626 Phone: 714-540-5511 Fax: 714-540-1733 | |
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