| Sonrisas Bright Dental | |
|
3200 Mowry Ave Ste D Fremont CA 94538-1510 | |
| (510) 713-8986 | |
| (510) 713-8068 |
| Full Name | Sonrisas Bright Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3200 Mowry Ave Ste D, Fremont, California |
| Authorized Official Name and Position | Edwin Chicchon (OWNER/DENTIST) |
| Authorized Official Contact | 5107138986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonrisas Bright Dental 3200 Mowry Ave Ste D Fremont CA 94538-1510 Ph: (510) 713-8986 | Sonrisas Bright Dental 3200 Mowry Ave Ste D Fremont CA 94538-1510 Ph: (510) 713-8986 |
| NPI Number | 1710441092 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 08/13/2021 |
| Certification Date | 08/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710441092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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