| Brite Specialty Grup | |
|
47 Maria Dr Ste 813 Petaluma CA 94954-3566 | |
| (707) 763-3203 | |
| Not Available |
| Full Name | Brite Specialty Grup |
|---|---|
| Speciality | Dentist |
| Location | 47 Maria Dr Ste 813, Petaluma, California |
| Authorized Official Name and Position | Hilda Lotfi (OFFICE MANAGER) |
| Authorized Official Contact | 8184589550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Specialty Grup 47 Maria Dr Ste 813 Petaluma CA 94954-3566 Ph: (707) 763-3203 | Brite Specialty Grup 47 Maria Dr Ste 813 Petaluma CA 94954-3566 Ph: (707) 763-3203 |
| NPI Number | 1841635158 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841635158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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