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Brite Smile Dental Group Pc
Dental Clinic/Center in Centreville, Virginia
NPI 1205260858

Brite Smile Dental Group Pc is a Dental Clinic/Center based in Centreville, VA and is specialized in Dental. Brite Smile Dental Group Pc practices in Centreville, VA. The NPI Number for Brite Smile Dental Group Pc is 1205260858 and holds a License No. 0401412648 (Virginia).

The current practice location address for Brite Smile Dental Group Pc is 14631 Lee Hwy Ste 116, Centreville, VA and can be reached out via phone at 703-447-5204.

Location: 14631 Lee Hwy Ste 116, Centreville, VA, 20121-5825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205260858
Provider Name
Brite Smile Dental Group Pc
Credential
Provider Entity Type
Organization
Address
14631 Lee Hwy Ste 116, Centreville, VA, 20121-5825
Phone Number
703-447-5204
Fax Number
Provider Enumeration Date
08/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
026866600 05 MD
institution
Provider Business Practice Location Address Details
Address
14631 Lee Hwy Ste 116
City
Centreville
State
Virginia
Zip
20121-5825
Phone Number
703-447-5204
Fax Number
person
Provider Business Mailing Address Details
Address
14631 Lee Hwy Ste 116
City
Centreville
State
Virginia
Zip
20121-5825
Phone Number
703-447-5204
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
0401412648 (Virginia)
Definition
Definition to come...
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