| Brilliant Dental Care | |
|
4000 Washington Ave Ste 201 Houston TX 77007-5673 | |
| (713) 839-0900 | |
| Not Available |
| Full Name | Brilliant Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4000 Washington Ave, Houston, Texas |
| Authorized Official Name and Position | Kevin M Freeman (DDS/OWNER) |
| Authorized Official Contact | 7138390900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Dental Care 4000 Washington Ave Ste 201 Houston TX 77007-5673 Ph: (713) 839-0900 | Brilliant Dental Care 4000 Washington Ave Ste 201 Houston TX 77007-5673 Ph: (713) 839-0900 |
| NPI Number | 1417322637 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417322637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19679 (Texas) | Primary |
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