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General NPI Number Information
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NPI Number | 1851025977
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Entity Type | Organization
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Legal Business Name | BRIGHT DENTISTRY PLLC
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 9880 E GRAND RIVER AVE STE 125
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City | BRIGHTON
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State | MI
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Zip | 48116-2468
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Country | US
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Telephone | 810-626-5662
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Fax |
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Provider Business Mailing Address
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Address Line | 10464 MORNING LIGHT CT
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City | SOUTH LYON
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State | MI
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Zip | 48178-8055
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Country | US
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Telephone | 586-246-9672
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JENNIFER AMINLARI
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Credential | DDS
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Telephone | 586-246-9672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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