Brilliant Dental Corporation

NPI #1306398037 in Ramona, California

Provider Information

NPI Number: 1306398037
Entity Type: Organization
Organization Name: Brilliant Dental Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 28, 2016
Last Updated: Oct 28, 2016

Practice Location

Address: 23676 SAN VICENTE RD
City: Ramona
State: California
ZIP Code: 92065-4245
Phone: (760) 789-2882

Authorized Official

Name: DR. TODD PHILIP BRILLIANT, DDS
Title: PRESIDENT
Phone: (760) 789-2882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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