| Brilliant Smiles Family Dental Care | |
|
1399 S Winchester Blvd #130 San Jose CA 95128-4300 | |
| (408) 377-0953 | |
| Not Available |
| Full Name | Brilliant Smiles Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1399 S Winchester Blvd, San Jose, California |
| Authorized Official Name and Position | Karl Gut Lum (PRESIDENT) |
| Authorized Official Contact | 4083770953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Smiles Family Dental Care 1399 S Winchester Blvd #130 San Jose CA 95128-4300 Ph: (408) 377-0953 | Brilliant Smiles Family Dental Care 1399 S Winchester Blvd #130 San Jose CA 95128-4300 Ph: (408) 377-0953 |
| NPI Number | 1548710445 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548710445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 43812 (California) | Primary |
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