| Brilliant Dental | |
|
701 N Central Expy Bldg #4 Richardson TX 75080 | |
| (469) 291-7023 | |
| (469) 291-7023 |
| Full Name | Brilliant Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 N Central Expy Bldg #4, Richardson, Texas |
| Authorized Official Name and Position | Hyungchul Chul Kim (OWNER) |
| Authorized Official Contact | 4692917023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Dental 701 N Central Expy Bldg #4 Richardson TX 75080 Ph: (469) 291-7023 | Brilliant Dental 701 N Central Expy Bldg #4 Richardson TX 75080 Ph: (469) 291-7023 |
| NPI Number | 1093115438 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 06/08/2023 |
| Certification Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093115438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29373 (Texas) | Primary |
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