Provider Demographics
NPI:1114687175
Name:BRIGHTWORK DENTAL HYGIENE PRACTICE OF APRIL DURANT, RDHAP, INC.
Entity Type:Organization
Organization Name:BRIGHTWORK DENTAL HYGIENE PRACTICE OF APRIL DURANT, RDHAP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:MONET
Authorized Official - Last Name:DURANT
Authorized Official - Suffix:
Authorized Official - Credentials:RDHAP
Authorized Official - Phone:562-760-3983
Mailing Address - Street 1:3153 LADOGA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-4019
Mailing Address - Country:US
Mailing Address - Phone:562-760-3983
Mailing Address - Fax:
Practice Address - Street 1:3153 LADOGA AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-4019
Practice Address - Country:US
Practice Address - Phone:562-760-3983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No251E00000XAgenciesHome Health