Healthcare Provider Details

I. General information

NPI: 1013701341
Provider Name (Legal Business Name): BRITE DENTAL CHINO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5436 RIVERSIDE DR
CHINO CA
91710-4206
US

IV. Provider business mailing address

5436 RIVERSIDE DR
CHINO CA
91710-4206
US

V. Phone/Fax

Practice location:
  • Phone: 909-465-5551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. STEVEN CHANG
Title or Position: OWNER
Credential:
Phone: 909-465-5551