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NPI 1033788245

NPI 1033788245 : ELIZABETH BRITO DDS : SANTA ANA, CA

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General NPI Number Information
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    NPI Number           |    1033788245
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH BRITO DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2021
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    1206 E 17TH ST STE 101 
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    City                 |    SANTA ANA
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    State                |    CA
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    Zip                  |    92701-2641
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    Country              |    US
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    Telephone            |    714-352-2911
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    Fax                  |    714-352-2903
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Provider Business Mailing Address
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    Address Line         |    1206 E 17TH ST STE 101 
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    City                 |    SANTA ANA
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    State                |    CA
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    Zip                  |    92701-2641
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    Country              |    US
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    Telephone            |    714-352-2911
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    Fax                  |    714-352-2903
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    2901602009
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    019.033247
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    112207
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    License Number State |    CA
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