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General NPI Number Information
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NPI Number | 1720997117
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Entity Type | Organization
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Legal Business Name | PERIO BRIGHT DENTAL IMPLANT CENTER PLLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 191 TELLURIDE ST UNIT 1
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City | BRIGHTON
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State | CO
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Zip | 80601-4356
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Country | US
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Telephone | 720-676-1231
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Fax |
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Provider Business Mailing Address
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Address Line | 6737 S WHITE CROW WAY
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City | AURORA
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State | CO
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Zip | 80016-7598
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PERIODONTIST
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Name | SANGEETHA CHANDRASEKARAN
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Credential | BDS, MS, MS
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Telephone | 916-342-7705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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