| Brighter Image Dental | |
|
1031 Avenida Pico #203 San Clemente CA 92673-6352 | |
| (949) 361-6900 | |
| (949) 361-3779 |
| Full Name | Brighter Image Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1031 Avenida Pico, San Clemente, California |
| Authorized Official Name and Position | Le Tran (OWNER) |
| Authorized Official Contact | 9493616900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Image Dental 1031 Avenida Pico Ste 203 San Clemente CA 92673-6356 Ph: (949) 361-6900 | Brighter Image Dental 1031 Avenida Pico #203 San Clemente CA 92673-6352 Ph: (949) 361-6900 |
| NPI Number | 1538327572 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538327572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 48051 (California) | Primary |
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