NPI | 1093487555 |
---|---|
Other Name | BRIGHT DENTAL ASSOCIATES LLC |
Entity Type | Organization |
Authorized Contact | TRACI WALDSCHMIDT Chief Operating Officer 254-722-1083 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-04 |
Last Update Date | 2021-10-04 |