Brilliant Dental Corporation | |
23676 San Vicente Rd Ramona CA 92065-4245 | |
(760) 789-2882 | |
Not Available |
Full Name | Brilliant Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 23676 San Vicente Rd, Ramona, California |
Authorized Official Name and Position | Todd Philip Brilliant (PRESIDENT) |
Authorized Official Contact | 7607892882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brilliant Dental Corporation 23676 San Vicente Rd Ramona CA 92065-4245 Ph: (760) 789-2882 | Brilliant Dental Corporation 23676 San Vicente Rd Ramona CA 92065-4245 Ph: (760) 789-2882 |
NPI Number | 1306398037 |
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Provider Enumeration Date | 10/28/2016 |
Last Update Date | 10/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306398037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 59733 (California) | Primary |
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