| Brilliant Dental Corporation | |
|
23676 San Vicente Rd Ramona CA 92065-4245 | |
| (760) 789-2882 | |
| Not Available |
| Full Name | Brilliant Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23676 San Vicente Rd, Ramona, California |
| Authorized Official Name and Position | Todd Philip Brilliant (PRESIDENT) |
| Authorized Official Contact | 7607892882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Dental Corporation 23676 San Vicente Rd Ramona CA 92065-4245 Ph: (760) 789-2882 | Brilliant Dental Corporation 23676 San Vicente Rd Ramona CA 92065-4245 Ph: (760) 789-2882 |
| NPI Number | 1306398037 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306398037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 59733 (California) | Primary |
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