Brilliant White Dental Pllc
NPI #1477268100 in Sierra Vista, Arizona
Provider Information
- NPI Number
- 1477268100
- Entity Type
- Organization
- Organization Name
- Brilliant White Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 17, 2023
- Last Updated
- Jul 17, 2023
Practice Location
- Address
- 2151 S HIGHWAY 92 STE 109
- City
- Sierra Vista
- State
- Arizona
- ZIP Code
- 85635-5283
- Phone
- (520) 730-8388
Authorized Official
- Name
- DR. FREDRIC J. WHITE, DDS
- Title
- OWNER
- Phone
- (520) 730-8388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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