Healthcare Provider Details

I. General information

NPI: 1508447079
Provider Name (Legal Business Name): BRITTANY NOELLE LINK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9735 WILSHIRE BLVD STE 211
BEVERLY HILLS CA
90212-2102
US

IV. Provider business mailing address

123 CALIFORNIA AVE APT 205
SANTA MONICA CA
90403-3513
US

V. Phone/Fax

Practice location:
  • Phone: 310-571-5560
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number109661
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: