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BrightSmiles PA 161

Debarred entity
TypeCompany[sources]
NameBrightSmiles PA 161[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number: 20152161[sources]
NPI1083848311[sources]
Registration numbernot available[sources]
SectorDental Group[sources]
AddressWaterford, MI[sources]
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Data sources

US Michigan Medicaid Sanctioned Provider List3,924

Providers who have been terminated for cause from Michigan's Medicaid program.

United States · MDHHS


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