| Bright Side Dental | |
|
16824 Newburgh Rd Livonia MI 48154-1600 | |
| (734) 591-4145 | |
| (734) 591-4168 |
| Full Name | Bright Side Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16824 Newburgh Rd, Livonia, Michigan |
| Authorized Official Name and Position | Derek Grytzelius (DENTIST) |
| Authorized Official Contact | 7345914145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Side Dental 16824 Newburgh Rd Livonia MI 48154-1600 Ph: (734) 591-4145 | Bright Side Dental 16824 Newburgh Rd Livonia MI 48154-1600 Ph: (734) 591-4145 |
| NPI Number | 1013118330 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013118330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11295 (Michigan) | Primary |
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