| 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 |