| Brite Smile Dental | |
|
8577 Sudley Rd Ste B Manassas VA 20110-3860 | |
| (703) 368-5885 | |
| (703) 368-1852 |
| Full Name | Brite Smile Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8577 Sudley Rd Ste B, Manassas, Virginia |
| Authorized Official Name and Position | Jaewon Yoon (PRESIDENT) |
| Authorized Official Contact | 7033685885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Smile Dental 8577 Sudley Rd Ste B Manassas VA 20110-3860 Ph: (703) 368-5885 | Brite Smile Dental 8577 Sudley Rd Ste B Manassas VA 20110-3860 Ph: (703) 368-5885 |
| NPI Number | 1740659598 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740659598 | NPI | - | NPPES |
| 026866600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401412648 (Virginia) | Primary |
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