| Brite Dental Group | |
|
4661 Precissi Ln Suite A Stockton CA 95207-6206 | |
| (209) 478-7221 | |
| Not Available |
| Full Name | Brite Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4661 Precissi Ln, Stockton, California |
| Authorized Official Name and Position | Blake K Kunimoto (PRESIDENT) |
| Authorized Official Contact | 2094787221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Dental Group 4661 Precissi Ln Suite A Stockton CA 95207-6206 Ph: (209) 478-7221 | Brite Dental Group 4661 Precissi Ln Suite A Stockton CA 95207-6206 Ph: (209) 478-7221 |
| NPI Number | 1508198680 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 02/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508198680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55669 (California) | Primary |
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