NPI | 1104311331 |
---|---|
Doing Business As | BRIGHT SMILE DENTAL AT OVIEDO, INC. |
Entity Type | Organization |
Authorized Contact | THIDA THANA Manager 407-542-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-06-29 |
Last Update Date | 2024-04-19 |