| Ultra Brite Llc | |
|
4531 Mossey Dr Lithonia GA 30038-7724 | |
| (404) 936-8418 | |
| Not Available |
| Full Name | Ultra Brite Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4531 Mossey Dr, Lithonia, Georgia |
| Authorized Official Name and Position | Christopher Hayes (CEO) |
| Authorized Official Contact | 4049368418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Brite Llc 4531 Mossey Dr Lithonia GA 30038-7724 Ph: (404) 936-8418 | Ultra Brite Llc 4531 Mossey Dr Lithonia GA 30038-7724 Ph: (404) 936-8418 |
| NPI Number | 1023613411 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023613411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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